Active NPI
Teresa Marie Todd, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lufkin, TX
National Provider Identifier
1285643742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- K0720
- Practice address
- 505 South John Redditt Drive
Department of Pathology
Lufkin, TX 75904-3120 - Phone
- (936) 634-8311
- Fax
- (936) 637-8545
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | K0720 | TX | Primary |
Addresses
Primary practice location
505 South John Redditt Drive
Department of Pathology
Lufkin, TX 75904-3120
Mailing address
PO Box 1907
Greenville, TX 75403-1907
Phone (936) 632-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R9360 | Other | TX | BLUE CROSS BLUE SHIELD TX |
Other names 1
- Teresa Marie Donovan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa D Todd MD PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Teresa D Todd MD PA | Current | Accepting new patients |
Locations
505 S John Redditt Dr
#R
Lufkin, TX 75904
Phone (936) 632-5992
700 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 632-5920
505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200
Interoperability endpoints
- https://api.platform.athenahealth.com/1902/brand/6/csg/45/fhir/r4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lufkin, TX
- NPI 1265441711
-
- Clinical Medical Laboratory
- Lufkin, TX
- NPI 1245240332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1285643742",
"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": "505 SOUTH JOHN REDDITT DRIVE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043120",
"telephone_number": "936-634-8311",
"fax_number": "936-637-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "K0720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "8R9360",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "DONOVAN",
"middle_name": "MARIE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.