Individual provider Active NPI

Teresa L Salerno, MPAS, PA-C

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1801208327
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003960 Issued in OH
Practice address
1150 W Dorothy LN
Dayton, OH 45409-1305
Phone
(937) 885-7163
Fax
(513) 275-3262
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003960 OH Primary

Addresses

Primary practice location

1150 W Dorothy LN
Dayton, OH 45409-1305

Mailing address

5523 Beejay CT
Dayton, OH 45414-2902
Phone (937) 890-7202

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825000451 OH Practitioner - Physician Assistant 2860610417 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003960OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe, Inc Physician Assistant CurrentSince Jul 24, 2020 Accepting new patients
Samaritan Family Care Inc CurrentSince Dec 18, 2018 Accepting new patients
Mvhe Inc CurrentSince Jul 24, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

600 Aviator Ct
Ste 250
Vandalia, OH 45377
Phone (937) 223-4900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1801208327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 BEEJAY CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142902",
            "telephone_number": "937-890-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W DOROTHY LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091305",
            "telephone_number": "937-885-7163",
            "fax_number": "513-275-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "TERESA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.