TEDROS ANDOM, MD LLC
NPI 1336300086
Surgery in Springfield, OH

Active since June 24, 2008
2624 LEXINGTON AVE, SUITE 340, SPRINGFIELD, OH 45505(937) 688-1588 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tedros Andom, Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEDROS ANDOM, MD LLC (NPI 1336300086) is a healthcare organization registered as a surgery in Springfield, Ohio and active in the NPI registry since June 2008. The organization lists Tedros Andom, Owner, as its authorized official.

NPPES Registry Identity

NPI1336300086
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTEDROS ANDOM, MD LLC
Location Address2624 LEXINGTON AVE, SUITE 340Springfield, OH 45505-2607
Mailing Address2624 Lexington Ave, Suite 340Springfield, OH 45505-2607 · (937) 688-1588
Organization SubpartNo
Authorized OfficialTedros AndomOwner · (937) 323-2690
Enumeration DateJune 24, 2008
Last NPPES UpdateAugust 5, 2010
NPI 1336300086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OH · 35-091693
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2624 LEXINGTON AVE, Springfield, OH 45505

Other Identifiers 2

Medicaid2854326OH
Medicare PIN9377541OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clinic/Center (Rehabilitation, Substance Use Disorder)
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Social Worker
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tedros Andom, MD LLC's NPI number?

The NPI number for Tedros Andom, MD LLC is 1336300086. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Tedros Andom, MD LLC located?

Tedros Andom, MD LLC is located at 2624 Lexington Ave Suite 340, Springfield, OH 45505. The listed phone number is (937) 688-1588.

What is Tedros Andom, MD LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Tedros Andom, MD LLC accept?

Health plans from CareSource list Tedros Andom, MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tedros Andom, MD LLC was last updated on August 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.