Individual provider Active NPI

Theresa D Amico, NP

  • Pulmonary Disease Physician
  • Parma, OH
National Provider Identifier
1346281441
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
NP-05098 Issued in OH
Practice address
6707 Powers Blvd
104
Parma, OH 44129-5455
Phone
(440) 886-2509
NPI assigned
Jun 9, 2006
Last updated
Mar 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NP-05098 OH Primary

Addresses

Primary practice location

6707 Powers Blvd
104
Parma, OH 44129-5455

Mailing address

PO Box 932085
Cleveland, OH 44193-0001
Phone (888) 328-4492

Other identifiers 2

IdentifierTypeStateIssuer
P00212878OtherOHRAILROAD MEDICARE
2335888MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-05098OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Chest Physicians LTD Pulmonary Disease CurrentSince Oct 1, 2006 Accepting new patients
Ohio Chest Physicians LTD Pulmonary Disease Past Accepting new patients

Locations

4269 Pearl Rd
Ste 311
Cleveland, OH 44109
Phone (216) 398-7373

6701 Rockside Rd
Ste 100
Independence, OH 44131
Phone (216) 328-0418

6681 Ridge Rd
Ste 204
Parma, OH 44129
Phone (216) 398-7373

6707 Powers Blvd
Ste 106
Parma, OH 44129
Phone (440) 826-2509

6731 Ridge Rd
Ste 101
Parma, OH 44129
Phone (216) 581-5555

33001 Solon Rd
Ste 112
Solon, OH 44139
Phone (440) 248-1297

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1346281441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932085",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "888-328-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD",
            "address_2": "104",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295455",
            "telephone_number": "440-886-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D AMICO",
        "first_name": "THERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "NP-05098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00212878",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.