Active NPI
Theresa D Amico, NP
- Pulmonary Disease Physician
- Parma, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- NP-05098
- Practice address
- 6707 Powers Blvd
104
Parma, OH 44129-5455 - Phone
- (440) 886-2509
- NPI assigned
- Jun 9, 2006
- Last updated
- Mar 16, 2011
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00212878 | Other | OH | RAILROAD MEDICARE |
| 2335888 | Medicaid | OH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-05098 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Chest Physicians LTD | Pulmonary Disease | Current | 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.
-
- Pulmonary Disease Physician
- Cleveland, OH
- NPI 1356394290
-
- Pulmonary Disease Physician
- Cleveland, OH
- NPI 1669428942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.