DR. THERESA M DERICKSON (NPI# 1639260169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639260169 |
| Entity Type | Individual |
| Full Name | DR. THERESA M DERICKSON |
| Credential | MD |
| Practice Address |
8040 Princeton-glendale Rd. West Chester OH 45069-0000 |
| Mailing Address |
4685 Forest Ave Ste C Cincinnati OH 45212-3359 |
| Practice Telephone | 5138722000 |
| Practice Fax Number | 5132818842 |
| Mailing Telephone | 5132467796 |
| Mailing Fax Number | 5138528525 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35088598 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2704836 | 05 |
| Street Address |
8040 PRINCETON-GLENDALE RD. |
| City | WEST CHESTER |
| State | OH |
| Zip Code | 45069-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891900 | Ami Hardik Parikh | Pharmacist | 8288 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-11-05 |
| 1083215172 | Ashley Dozier | Pharmacist | 8288 Cincinnati-dayton Road, West Chester, OH 45069 | 2020-11-04 |
| 1891393575 | Georgia Leeanne Mako | Nurse Practitioner | Minute Clinic #2342, 7217 Cincinnati Dayton Rd, West Chester, OH 45069 | 2020-10-14 |
| 1407310832 | Holly N Retherford | Behavior Technician | 5900 West Chester Rd, Suite C, West Chester, OH 45069 | 2019-01-30 |
| 1669966933 | Caring Hearts Home Care, LLC. | Home Health | 8603 Cincinnati Columbus Rd., Ste. J, West Chester, OH 45069 | 2018-06-19 |
| 1538684972 | Elizabeth Stasser | Counselor | 5900 West Chester Road Suite C, West Chester, OH 45069 | 2017-08-07 |
| 1942720388 | All Caring Hospice Cincinnati Dayton, LLC | Hospice Care, Community Based | 8857 Cincinnati-dayton Road, Suite 101, West Chester, OH 45069 | 2017-06-27 |
| 1568991982 | Cassandra Jade Biltz | Speech-Language Pathologist | 8123 Mill Creek Cr, West Chester, OH 45069 | 2017-06-08 |
| 1316476732 | Christina Louise Kappen | Social Worker | 8904 Brookside Ave, West Chester, OH 45069 | 2017-06-08 |
| 1033644240 | Claire Stall | Pharmacist | 7675 Wellness Way Ste 100, West Chester, OH 45069 | 2017-04-25 |
| Find all providers in zip 45069 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558519298 | Richard Michael Haupt | Pediatrics | 684 Militia Hill Dr, West Chester, PA 19382-8701 | 2008-09-06 |
| 1770709925 | Gail B. Croall | Pediatrics | 9050 Center Pointe, Suite 400, West Chester, OH 45069 | 2007-04-17 |
| 1790841732 | Sara Verghese | Pediatrics | 9902 West Roosevelt Road, West Chester, IL 60154-2770 | 2006-12-27 |
| 1639259583 | Children's Hospital of Philadelphia | Pediatrics | 770 Miles Road, Suite 1, West Chester, PA 19380-4400 | 2006-10-16 |
| 1467542977 | Camille Cecile Graham | Pediatrics | 7777 University Dr Ste D, West Chester, OH 45069-6563 | 2006-10-13 |
| 1639182363 | Neil Pennington | Pediatrics | 795 East Marshall Street, Suite 301-307, West Chester, PA 19380 | 2006-08-14 |
| 1518974831 | Mary Ellen Skalina | Pediatrics | 701 E Marshall St Fl 2, Chester County Hospital - Chop Connection, West Chester, PA 19380-4412 | 2006-08-01 |
| 1831105642 | Barbara H Stipe | Pediatrics | 701 E Marshall St Fl 4, Chop Care Network At Chester County Hospital, West Chester, PA 19380-4412 | 2006-08-01 |
| 1437173721 | Richard Rissmiller | Pediatrics | 440 East Marshall Rd, 3rd Flr North, Suite 300, West Chester, PA 19380 | 2006-07-27 |
| 1528082815 | Sharon Oehler | Pediatrics | 440 East Marshall St, 3rd Flr North, Suite 300, West Chester, PA 19380 | 2006-07-27 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 45069 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.