Organization Active NPI

Boris Terebuh MD LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dublin, OH
National Provider Identifier
1306862446
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
BORIS TEREBUH MD LLC
Practice address
6860 Perimeter Dr
Suite a
Dublin, OH 43016-8052
Phone
(937) 599-4443
Fax
(937) 599-4403
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Dr. Boris Milan Terebuh, M.D.NPI 1770585218
Title
Sole Owner
Phone
(937) 599-4443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

6860 Perimeter Dr
Suite a
Dublin, OH 43016-8052

Mailing address

6860 Perimeter Dr
Suite a
Dublin, OH 43016-8052
Phone (937) 599-4443

Other identifiers 1

IdentifierTypeStateIssuer
9362721OtherMEDICARE GROUP

Other names 1

  • OHIO SPINE AND MUSCULOSKELETAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000297 OH Part B Supplier - Clinic/Group Practice 8527062983 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1306862446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 PERIMETER DR",
            "address_2": "SUITE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168052",
            "telephone_number": "937-599-4443",
            "fax_number": "937-599-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 PERIMETER DR",
            "address_2": "SUITE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168052",
            "telephone_number": "937-599-4443",
            "fax_number": "937-599-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS TEREBUH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "TEREBUH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "MILAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "937-599-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9362721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHIO SPINE AND MUSCULOSKELETAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.