Individual provider Active NPI

Rebecca Nicole Teagarden, D.O.

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1962630111
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.011247 Issued in OH
Practice address
55 Arch St
Suite 3a
Akron, OH 44304-1423
Phone
(330) 375-3584
Fax
(330) 375-3730
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.011247 OH Primary

Addresses

Primary practice location

55 Arch St
Suite 3a
Akron, OH 44304-1423

Mailing address

55 Arch St
Suite 3a
Akron, OH 44304-1423
Phone (330) 375-3584

Other identifiers 1

IdentifierTypeStateIssuer
12379835OtherMICAQH UNIVERSAL PROVIDER ID

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
I20140924001330 OH Practitioner - Family Practice 7618123738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

201 5TH St NE
Barberton, OH 44203-3017

525 E Market St
Akron, OH 44304-1619

55 Arch St
Suite 3a
Akron, OH 44304-1447
Phone (330) 375-3584

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011247OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Sep 1, 2014 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Family Medicine CurrentSince Sep 1, 2014 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

95 Arch St
Ste G50
Akron, OH 44304
Phone (330) 375-3226

75 Arch St
Ste G2
Akron, OH 44304
Phone (330) 375-3039

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

55 Arch St
Ste 3A
Akron, OH 44304
Phone (330) 375-3584

75 Arch St
Ste 2
Akron, OH 44304
Phone (330) 375-3584

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

201 5th St NE
Ste 15
Barberton, OH 44203
Phone (330) 400-4511

Interoperability endpoints

  • Direct secure messaging: rteagarden34959@summahealth-direct.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1962630111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ARCH ST",
            "address_2": "SUITE 3A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041423",
            "telephone_number": "330-375-3584",
            "fax_number": "330-375-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ARCH ST",
            "address_2": "SUITE 3A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041423",
            "telephone_number": "330-375-3584",
            "fax_number": "330-375-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGARDEN",
        "first_name": "REBECCA",
        "middle_name": "NICOLE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH UNIVERSAL PROVIDER ID",
            "identifier": "12379835",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.