Active NPI
Teresa Kammerman, MD
- Pediatrics Physician
- Beachwood, OH
National Provider Identifier
1316030307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35055696K
- Practice address
- 2142 Cedarview Dr
Beachwood, OH 44122-1221 - Phone
- (216) 406-1402
- Fax
- (216) 475-3816
- NPI assigned
- Oct 2, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35055696K | OH | Primary |
Addresses
Primary practice location
2142 Cedarview Dr
Beachwood, OH 44122-1221
Mailing address
2142 Cedarview Dr
Beachwood, OH 44122-1221
Phone (216) 406-1402
Other practice location 1
3350 SW 148th Ave Ste 300
Miramar, FL 33027-3259
Phone (800) 400-6354
Other practice location 2
5350 Transportation Blvd
Garfield Heights, OH 44125-5327
Phone (216) 475-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0817290 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35055696K | OH | MD | Pediatrics Physician |
Interoperability endpoints
- tkammerman36024@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1316030307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 CEDARVIEW DR",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221221",
"telephone_number": "216-406-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 CEDARVIEW DR",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221221",
"telephone_number": "216-406-1402",
"fax_number": "216-475-3816"
}
],
"practiceLocations": [
{
"address_1": "3350 SW 148th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330273259",
"country_code": "US",
"telephone_number": "800-400-6354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5350 Transportation Blvd",
"address_purpose": "LOCATION",
"city": "Garfield Heights",
"state": "OH",
"postal_code": "441255327",
"country_code": "US",
"telephone_number": "216-475-8844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMMERMAN",
"first_name": "TERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35055696K",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0817290",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.