Theresa M.Hom DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-004010 Issued in OH

Legal business name

THERESA M.HOM DO LLC

Doing business as

The Still Center for Integrative Medicine

Practice address

1000 High St
Suite I
Worthington, OH 43085-4044

Phone

(614) 840-0380

Fax

(614) 840-0385

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Theresa M Hom, DONPI 1932127933

Title

Medical Director

Phone

(614) 840-0380

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Still Center for Integrative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Marie Hom, DO

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1932127933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1194892133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGH ST",
            "address_2": "SUITE I",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854044",
            "telephone_number": "614-840-0380",
            "fax_number": "614-840-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGH ST",
            "address_2": "SUITE I",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854044",
            "telephone_number": "614-840-0380",
            "fax_number": "614-840-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M.HOM DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "614-840-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-004010",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "34-004010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1932123379",
            "identifier": "1932123379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Still Center for Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Worthington, OH
• Providers in Worthington, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.