Teresa D Todd MD PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TERESA D TODD MD PA

Practice address

700 Gaslight Boulevard
Lufkin, TX 75904-3153

Phone

(936) 632-5920

Fax

(936) 632-5470

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Teresa D Todd, MD

Title

President Secretary

Phone

(936) 632-5920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lufkin Pathology Associates Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Teresa D Todd MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Lufkin, TX
  • NPI 1265441711

  7517904030

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lufkin Pathology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Teresa D Todd MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Lufkin, TX
  • NPI 1265441711
  NPD tax ID

Practitioners 2

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

• James R Bruce, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lufkin, TX
  • NPI 1346342078
  NPD
• Teresa Marie Todd, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lufkin, TX
  • NPI 1285643742
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1245240332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1907",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031907",
            "telephone_number": "936-632-5920",
            "fax_number": "936-632-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GASLIGHT BOULEVARD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043153",
            "telephone_number": "936-632-5920",
            "fax_number": "936-632-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA D TODD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT SECRETARY",
        "authorized_official_telephone_number": "936-632-5920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "CL0709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lufkin Pathology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allan Talai
• Janelle Lee Talbert, OT
• Joshua Talbert, PA-C
• Megan Tanner, D.D.S.
• Kristian Taylor
• Teresa D Todd MD PA
• Beverly S Terry, CMF
• Daniel Testyon, CRNA
• Texas Em-I Medical Services, P.a.
• Texas Em-I Medical Services, PA

• Clinical Medical Laboratory in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.