Active NPI
Ted, LLC
- Obstetrics & Gynecology Physician
- Springfield, OH
National Provider Identifier
1508044884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35042438
- Legal business name
- TED, LLC
- Practice address
- 38 S Burnett Rd
Springfield, OH 45505-1441 - Phone
- (937) 325-7450
- Fax
- (937) 325-7458
- NPI assigned
- Feb 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas E Dunaway, M.D.
- Title
- Owner
- Phone
- (937) 325-7450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35042438 | OH | Primary |
Addresses
Primary practice location
38 S Burnett Rd
Springfield, OH 45505-1441
Mailing address
38 S Burnett Rd
Springfield, OH 45505-1441
Phone (937) 325-7450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0419256 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
38 S Burnett Rd
Springfield, OH 45505
Phone (937) 325-7450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264377600000",
"number": "1508044884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 S BURNETT RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051441",
"telephone_number": "937-325-7450",
"fax_number": "937-325-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 S BURNETT RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051441",
"telephone_number": "937-325-7450",
"fax_number": "937-325-7458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-08",
"last_updated": "2010-01-25",
"status": "A",
"authorized_official_last_name": "DUNAWAY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-325-7450",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35042438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0419256",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.