Theresa Noelle Lanham, D.O.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Owensboro, KY
NPI 1972037208 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1972037208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 05389 (KY)
- Practice address
- 1000 Breckenridge St Ste 200
Owensboro, KY 42303-0876 - Phone
- (270) 691-8040
- Fax
- (270) 691-8049
- NPI assigned
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
1000 Breckenridge St
Owensboro, KY 42303-0876
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
2211 Mayfair Dr
Owensboro, KY 42301-4569
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
- Owensboro Health Regional Hospital
- Owensboro Health Twin Lakes Medical Center
- Ohio County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230123000389 | KY | Practitioner - Endocrinology | 4183993058 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10757100 | NJ | MD | Internal Medicine Physician |
| OT017578 | PA | MD | Internal Medicine Physician |
| 05389 | KY | MD | Endocrinology, Diabetes & Metabolism Physician |
| TP154 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Owensboro Health Medical Group, Inc | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Owensboro Health Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
Locations
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1000 Breckenridge St
Ste 200
Owensboro, KY 42303
Phone (270) 691-8040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB10757100 | NJ | |
| Internal Medicine Physician | 207R00000X | OT017578 | PA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | TP154 | KY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 05389 | KY | Yes |
Addresses
Primary practice location
1000 Breckenridge St Ste 200
Owensboro, KY 42303-0876
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
420 S 5th Ave
West Reading, PA 19611-2143
Phone (484) 628-8640
Other practice location 2
705 Haddonfield Berlin Rd
Voorhees, NJ 08043-3714
Phone (856) 679-0537
Other names
- Theresa N. Lynn
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlanham117666@direct.owensborohealth.org | ||
| Direct Messaging Address | NJExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
Other providers in Owensboro, KY
- Charles William Langford Jr.
- Erik Lanham
- Haley Lanham
- Kristi Sigers Lanham
- Lindsey Lanham
- Ryan Lanser
- Alisha Lantrip
- Larry L. Minix Dba the Optical Shoppe
- Larry S Wigginton PSC
- John David Lauzon
All providers in Owensboro, KY · Endocrinology, Diabetes & Metabolism Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.