DR. TERREN BURGESS KOLES M.D. NPI 1699831693

NPI Information

NPI: 1699831693
Provider Name: DR. TERREN BURGESS KOLES, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2912 SPRINGBORO RD
SUITE
MORAINE, OH
ZIP 45439
Phone: (513) 695-1468
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DR. Terren Burgess Koles, M.D. is a general practice in Moraine, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Terren Burgess Koles, M.D. NPI is 1699831693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2912 SPRINGBORO RD
SUITE
MORAINE, OH
ZIP 45439-674
Phone: (513) 695-1468
Fax: (513) 695-2941

The enumeration date for this NPI number is 12/28/2006 and was last updated on 4/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		35050061K	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2933179	MEDICAID	OHIO
2	E29114	MEDICARE UPIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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