Active NPI
Teresa Dolan
- Emergency Medicine Physician
- State College, PA
National Provider Identifier
1245248053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD420744
- Practice address
- 1800 E Park Ave
C/O Mount Nittany Medical Center
State College, PA 16803-6701 - Phone
- (814) 234-6110
- NPI assigned
- Aug 4, 2006
- Last updated
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD420744 | PA | Primary |
Addresses
Primary practice location
1800 E Park Ave
C/O Mount Nittany Medical Center
State College, PA 16803-6701
Mailing address
500 University Dr
Hershey, PA 17033-2360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, MI, OH, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
812 N Prince St
Lancaster, PA 17603-2732
Phone (855) 221-2642
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 77.19
- Improvement activities
- 40
- Cost
- 63.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD420744 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona | Current | Accepting new patients | |
| Upmc Bedford Memorial | Emergency Medicine | Current | Accepting new patients |
| Upmc Altoona | Current | Accepting new patients | |
| Upmc Bedford Memorial | Current | Accepting new patients | |
| Dca Capitol Hill SNF LLC | Past | Accepting new patients | |
| Medical Faculty Associates, Inc | Emergency Medicine | Past | Accepting new patients |
| Centre Emergency Medical Associates, PC. | Emergency Medicine | Past | Accepting new patients |
| Jaunt Healthcare PLLC | Past | Accepting new patients |
Locations
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550
Interoperability endpoints
- upmchospitals@upmcdirect.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Altoona Emergency Physicians
- General Acute Care Hospital
- Altoona, PA
- NPI 1497831655
-
- Emergency Medicine Physician
- Everett, PA
- NPI 1184772113
-
- Ambulatory Surgical Clinic/Center
- Altoona, PA
- NPI 1114926953
-
- Ambulatory Surgical Clinic/Center
- Everett, PA
- NPI 1942345467
-
- Emergency Medicine Physician
- State College, PA
- NPI 1609891365
-
dba BridgePoint Sub-Acute and Rehabilitation Capitol Hill
- Skilled Nursing Facility
- Washington, DC
- NPI 1205923604
-
- Internal Medicine Physician
- Coppell, TX
- NPI 1790506053
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1245248053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E PARK AVE",
"address_2": "C/O MOUNT NITTANY MEDICAL CENTER",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036701",
"telephone_number": "814-234-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2021-06-15",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD420744",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "upmchospitals@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.