Active NPI
Phillip Charles Teague, MD
- Family Medicine Physician
- Sugarcreek, OH
National Provider Identifier
1770571069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35058831
- Practice address
- 126 1/2 N Broadway St
Sugarcreek, OH 44681-9384 - Phone
- (330) 852-3211
- Fax
- (330) 852-4018
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35058831 | OH | Primary |
Addresses
Primary practice location
126 1/2 N Broadway St
Sugarcreek, OH 44681-9384
Mailing address
PO Box 218
Sugarcreek, OH 44681-0218
Phone (330) 852-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0763222 | Medicaid | OH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070320000093 | OH | Practitioner - Family Practice | 2062515604 |
Receives reassigned benefits from 3 practitioners Practice locations: Sugarcreek, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHS Oakpointe, Inc. | Past | Accepting new patients | |
| Be Well Pediatrics | Past | Accepting new patients | |
| Altercare Coshocton, Inc. | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Oakpointe Nursing & Rehabilitation | Skilled nursing facility | Adp of the SNF | Jun 1, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
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.
-
- Skilled Nursing Facility
- Coshocton, OH
- NPI 1164939583
-
- Primary Care Clinic/Center
- Uhrichsville, OH
- NPI 1780457671
-
- Skilled Nursing Facility
- Baltic, OH
- NPI 1386133122
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Findlay, OH
- NPI 1467930958
Hospice
-
- Community Based Hospice Care Agency
- Zanesville, OH
- NPI 1548684053
Hospice
-
- Community Based Hospice Care Agency
- Saint Clairsville, OH
- NPI 1730667239
Hospice
-
- General Acute Care Hospital
- Coshocton, OH
- NPI 1013468172
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Northeastern Ohio University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
153 /2 N Broadway
Sugarcreek, OH 44681
Phone (330) 852-3211
Hospital & facility affiliations
- Interim Healthcare Hospice of Coshocton
- Lifecare Hospice
- Coshocton Regional Medical Center
- Pomerene Hospital
- Pomerene Hospital
- Aultman Hospital
- Union Hospital
- Altercare Coshocton Inc.
- Oak Pointe Nursing & Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1770571069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "SUGARCREEK",
"state": "OH",
"postal_code": "446810218",
"telephone_number": "330-852-3211",
"fax_number": "330-852-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 1/2 N BROADWAY ST",
"city": "SUGARCREEK",
"state": "OH",
"postal_code": "446819384",
"telephone_number": "330-852-3211",
"fax_number": "330-852-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "PHILLIP",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35058831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0763222",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugarcreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.