Active NPI
Teresa Jean Byrne, MD
- Pediatrics Physician
- Lima, OH
National Provider Identifier
1386805679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.096729
- Practice address
- 830 W High St
Suite 102 and Suite 201
Lima, OH 45801 - Phone
- (419) 222-4045
- Fax
- (419) 228-5665
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301092613 | MI | |
| Pediatrics Physician | 208000000X | 35.096729 | OH | Primary |
Addresses
Primary practice location
830 W High St
Suite 102 and Suite 201
Lima, OH 45801
Mailing address
830 W High St
Suite 102
Lima, OH 45801
Phone (419) 222-4045
Other names 1
- Teresa Jean Burgei
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 |
|---|---|---|---|
| 4301092613 | MI | MD | Pediatrics Physician |
| 35.096729 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mercy Health-St Ritas Medical Center LLC | Past | Accepting new patients | |
| Pediatrics of Lima Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Mercy Health-St Rita's Medical Center
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1386805679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W HIGH ST",
"address_2": "SUITE 102",
"city": "LIMA",
"state": "OH",
"postal_code": "45801",
"telephone_number": "419-222-4045",
"fax_number": "419-228-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W HIGH ST",
"address_2": "SUITE 102 AND SUITE 201",
"city": "LIMA",
"state": "OH",
"postal_code": "45801",
"telephone_number": "419-222-4045",
"fax_number": "419-228-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "TERESA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301092613",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.096729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "BURGEI",
"middle_name": "JEAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.