Individual provider Active NPI

Teresa Rose Recker Gross, D.O.

  • Pediatrics Physician
  • Delaware, OH
National Provider Identifier
1942520499
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34011085 Issued in OH
Practice address
551 W Central Ave
Suite 103
Delaware, OH 43015-1493
Phone
(740) 615-0300
Fax
(740) 615-0301
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34011085 OH Primary

Addresses

Primary practice location

551 W Central Ave
Suite 103
Delaware, OH 43015-1493

Mailing address

551 W Central Ave
Suite 103
Delaware, OH 43015-1493
Phone (740) 615-0300

Other names 1

  • Mrs. Teresa Rose Recker Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address treckergross54412@direct.ohiohealth.com OhioHealth Physician Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024001434 OH Practitioner - Pediatric Medicine 5991930133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34011085OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 1, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2016 Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

2295 W William St
Delaware, OH 43015
Phone (740) 615-0100

551 W Central Ave
Ste 103
Delaware, OH 43015
Phone (740) 615-0300

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

4141 N Hampton Dr
Ste 103
Powell, OH 43065
Phone (740) 615-2850

4141 N Hampton Dr
Ste 100
Powell, OH 43065
Phone (614) 764-0200

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1942520499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151493",
            "telephone_number": "740-615-0300",
            "fax_number": "740-615-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151493",
            "telephone_number": "740-615-0300",
            "fax_number": "740-615-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKER GROSS",
        "first_name": "TERESA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34011085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "treckergross54412@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2295 W William St",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430151361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "RECKER",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.