Individual
JOHN TETERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 OLENTANGY RIVER RD, SUITE 490, COLUMBUS, OH 43214-3437
(614) 898-4000
Mailing address
3600 OLENTANGY RIVER RD, SUITE 490, COLUMBUS, OH 43214-3437
(614) 459-1000
(614) 459-1382
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35060578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0890102
—
OH
01
—
4090862
MEDICARE PTAN
OH
01
—
TE0722936
MEDICARE PTAN MOCA
OH
Enumeration date
06/12/2006
Last updated
09/14/2012
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