Annette K Terebuh, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35057256 Issued in OH

Practice address

1107 Rush Ave
Bellefontaine, OH 43311-9488

Phone

(937) 593-3881

Fax

(937) 593-2430

NPI assigned

Jul 19, 2006

Last updated

Jun 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aterebuh@jterebuhmdinc.direct.eyemdemr.com

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.

• J. Terebuh MD Inc

  • Optometrist
  • Bellefontaine, OH
  • NPI 1194744102

  Ophthalmology

  Medicare reassignment NPD
• Clear Choice Audiology, LLC

  • Audiologist
  • Newark, OH
  • NPI 1043322407
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Wesley J Harnish MD

  dba Eye Surgical & Medical Care

  • Ophthalmology Physician
  • Westerville, OH
  • NPI 1033201553
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1497774483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "address_2": "1107 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433110190",
            "telephone_number": "937-593-3881",
            "fax_number": "937-593-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119488",
            "telephone_number": "937-593-3881",
            "fax_number": "937-593-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEREBUH",
        "first_name": "ANNETTE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35057256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPA PIN",
            "identifier": "OH7256",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PIN",
            "identifier": "P00118537",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4393131",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2216471",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "0872771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000065900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Paul Swartz, O.D.
• Jessica Lynn Sweeney, LSW
• Patricia Sweeney, MD
• James Thomas Tassell
• Heath Charles Tennyson, MD
• The Kroger Co (Kroger Pharmacy)
• The Pathology Center
• Karey A Thompson, LISW-S
• Mindy Nicole Thompson, CNP
• Jennifer Thomson, AUD

• Ophthalmology Physician in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.

Verify at the official NPI Registry.