Teresa Ann Oden

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

7717206 Issued in OH

Practice address

399 Edith Ave
Akron, OH 44312-3662

Phone

(330) 785-5345

NPI assigned

Mar 30, 2021

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teresa Ann Marcinkoski Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1902484116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 EDITH AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123662",
            "telephone_number": "330-785-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 EDITH AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123662",
            "telephone_number": "330-785-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "7717206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7717206",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Akron",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "399 Edith Ave",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443123662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "MARCINKOSKI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mihail C Ocrainiciuc, DDS
• Elizabeth Oddi, CRNA
• Michael Anthony Oddi, MD
• Sierra Baxter Oden, LISW-S
• Tatyana Oden
• Jelord Odoom
• Patricia Ann Odum
• Ohio CVS Stores LLC (CVS Pharmacy 04333)
• Ohio CVS Stores LLC (CVS Pharmacy #17411)
• Ohio CVS Stores LLC (CVS Pharmacy 04800)

• In Home Supportive Care Agency in Akron, OH
• Providers in Akron, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.