Individual provider Active NPI

Teresa Pamela Bridges, MD

  • Emergency Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1154320182
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35052277 Issued in OH
Practice address
13286 Ovitt Rd
Perrysburg, OH 43551-9610
Phone
(419) 823-6800
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35052277 OH Primary

Addresses

Primary practice location

13286 Ovitt Rd
Perrysburg, OH 43551-9610

Mailing address

13286 Ovitt Rd
Perrysburg, OH 43551-9610
Phone (419) 823-6800

Other identifiers 4

IdentifierTypeStateIssuer
000000246971OtherOHANTHEM
000000259183OtherOHANTHEM
4485563MedicaidMI
0660226MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000436 OH Practitioner - Emergency Medicine 3274598552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35052277OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jan 16, 2015 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jan 19, 2012 Accepting new patients
Ohio Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients
Ohio Em-I Medical Services Professional Association Emergency Medicine Past Accepting new patients
Medical Emergency Treatment Corporation Emergency Medicine Past Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1154320182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13286 OVITT RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519610",
            "telephone_number": "419-823-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13286 OVITT RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519610",
            "telephone_number": "419-823-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "TERESA",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35052277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000246971",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000259183",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4485563",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0660226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.