Theresa Lynn Vacheresse, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003295 Issued in OH

Practice address

2525 Tiller LN
Suite 105
Columbus, OH 43231-2267

Phone

(614) 901-0000

Fax

(614) 901-4117

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• First Medical PC Inc

  • Chiropractor
  • Columbus, OH
  • NPI 1982851069
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1982609582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W COSHOCTON ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319587",
            "telephone_number": "614-901-0000",
            "fax_number": "614-901-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 TILLER LN",
            "address_2": "SUITE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312267",
            "telephone_number": "614-901-0000",
            "fax_number": "614-901-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHERESSE",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Vaccarello, M.D.
• William Vaccariello
• Claudia Angelina Vaccaro, MT-BC
• Patrick S. Vaccaro, M.D.
• Vacco LLC
• Robin A. Vachon-Kraut, APRN.CNP
• Lindsay Ann Vachon
• Charlie Robert Vachris, L.I.S.W.
• Vacmi Extended Family Inc.
• Prashanthi Vadhi, DDS

• Podiatrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.