Active NPI
Ted M Lum, MD INC
- Specialist
- Cincinnati, OH
National Provider Identifier
1669443529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35050266L
- Practice address
- 2825 Burnet Ave
Suite 208
Cincinnati, OH 45219-2426 - Phone
- (513) 221-6300
- Fax
- (513) 221-6302
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 35050266L | OH | Primary |
Addresses
Primary practice location
2825 Burnet Ave
Suite 208
Cincinnati, OH 45219-2426
Mailing address
2825 Burnet Ave
Suite 208
Cincinnati, OH 45219-2426
Phone (513) 221-6300
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35050266L | OH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1669443529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 BURNET AVE",
"address_2": "SUITE 208",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192426",
"telephone_number": "513-221-6300",
"fax_number": "513-221-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 BURNET AVE",
"address_2": "SUITE 208",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192426",
"telephone_number": "513-221-6300",
"fax_number": "513-221-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "TED",
"middle_name": "M",
"credential": "MD INC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35050266L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.