DR. THERESA M DERICKSON


Address: 8040 Princeton-glendale Rd., West Chester, OH 45069-0000
Phone: 5138722000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 35088598 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2704836 05

Office Location

Street Address 8040 PRINCETON-GLENDALE RD.
City WEST CHESTER
State OH
Zip Code 45069-0000

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City WEST CHESTER
Zip Code 45069

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Dataset Information

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.

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