Individual provider Active NPI

Thomas Leslie Teater, MD

  • Orthopaedic Hand Surgery Physician
  • Dover, OH
National Provider Identifier
1255441622
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35-061329 Issued in OH
Practice address
205 Hospital Dr
Dover, OH 44622-2058
Phone
(330) 343-3335
Fax
(330) 364-5720
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 35-061329 OH Primary

Addresses

Primary practice location

205 Hospital Dr
Dover, OH 44622-2058

Mailing address

205 Hospital Dr
Dover, OH 44622-2058
Phone (330) 343-3335

Other identifiers 1

IdentifierTypeStateIssuer
0979393MedicaidOH

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
I20050805000044 OH Practitioner - Orthopedic Surgery 1254229925 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-061329OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Physician Services, LLC CurrentSince Oct 1, 2009 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

515 Union Ave
Ste 167
Dover, OH 44622
Phone (330) 343-3335

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

Interoperability endpoints

  • Direct secure messaging: tteater1263522@direct.ccf.org

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1255441622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222058",
            "telephone_number": "330-343-3335",
            "fax_number": "330-364-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222058",
            "telephone_number": "330-343-3335",
            "fax_number": "330-364-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEATER",
        "first_name": "THOMAS",
        "middle_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35-061329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0979393",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.