Timothy A Teller, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35063670 Issued in OH

Practice address

3855 Trueman Court
Hilliard, OH 43026-2496

Phone

(614) 777-1800

Fax

(614) 777-1831

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: timothy.teller@hillped.eclinicaldirect.com

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.

• Hilliard Pediatrics, Inc

  • Primary Care Clinic/Center
  • Hilliard, OH
  • NPI 1639217011
  NPD (past) Authorized official
• Ohio Pediatric Alliance, LLC

  • Pediatrics Physician
  • Hilliard, OH
  • NPI 1780566885
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1417954744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 TRUEMAN COURT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-777-1800",
            "fax_number": "614-777-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 TRUEMAN COURT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-777-1800",
            "fax_number": "614-777-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLER",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35063670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Timothy.Teller@Hillped.eclinicaldirect.com",
            "affiliation": "Y",
            "affiliationName": "Hilliard Pediatrics, Inc",
            "address_1": "3855 Trueman Court",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430262496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tawnee Tanner, PSYD
• Jennifer Marie Taylor, OTR/L
• Susan M Taylor, P.T.
• Patricia Lynn Teach, M.D.
• Technical Gas Products, Inc
• Timothy Brian Temelkoff, R.PH.
• Yvonne Denice Tenant
• Michael Thabet, OTRL
• Chirag Thakkar
• Ann Marie Thaler

• Pediatrics Physician in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.