Provider Demographics
NPI:1861445868
Name:ZEISER, TERESA (NP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:ZEISER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7655 5 MILE RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4326
Mailing Address - Country:US
Mailing Address - Phone:513-947-7000
Mailing Address - Fax:
Practice Address - Street 1:7655 5 MILE RD STE 117
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4326
Practice Address - Country:US
Practice Address - Phone:513-947-7000
Practice Address - Fax:513-624-7525
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1097763363L00000X
OHNP07640363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100177280Medicaid
OH352199392050OtherCARE SOURCE
OH000000730300OtherANTHEM BLUE SHIELD
OH2647989Medicaid
IN201032540Medicaid
KYIDX83524Medicaid
352199392OtherHEALTHNET
OH000000730300OtherANTHEM BLUE SHIELD
OH000000730300OtherANTHEM BLUE SHIELD
KYIDX83524Medicaid
KY7100177280Medicaid
$$$$$$$$$00OtherBUREAU OF WORKERS COMPENSATION
OH352199392050OtherCARE SOURCE