Tedros Andom, MD LLC
Tedros Andom, MD LLC is a healthcare organization registered as Surgery Physician in Springfield, OH, holding Type 2 (organization) NPI 1336300086 since 2008. The authorized official on file is Tedros Andom, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336300086 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tedros Andom, MD LLC |
| Practice address | 2624 LEXINGTON AVE, SUITE 340, Springfield, OH, 45505 |
| Phone | 9376881588 |
| Enumeration date | 2008-06-24 |
| Last updated in NPPES | 2010-08-05 |
Authorized official
| Name | Tedros Andom |
|---|---|
| Title | Owner |
| Phone | 9373232690 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 35-091693 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2854326 | Medicaid | OH | — |
Copy-ready billing details
Provider: Tedros Andom, MD LLC NPI: 1336300086 Taxonomy: 208600000X (Surgery Physician) Address: 2624 LEXINGTON AVE, SUITE 340, Springfield, OH, 45505
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538086301 | Dapca Sylvestre | Individual | Case Manager/Care Coordinator | Springfield, OH |
| 1013961945 | Mckinley Hall, Inc. | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Springfield, OH |
| 1184896177 | Grand Lake Podiatry Inc | Organization | Foot & Ankle Surgery Podiatrist | Springfield, OH |
| 1528388485 | Springfield Health Care Center, Inc. | Organization | Non-Pharmacy Dispensing Site | Springfield, OH |
| 1558602243 | Mckinley Hall, Inc. | Organization | Community/Behavioral Health Agency | Springfield, OH |
| 1871933929 | Katrina Booze | Individual | Psychiatric/Mental Health Nurse Practitioner | Springfield, OH |
| 1124448980 | Michelle Vincent | Individual | Counselor | Springfield, OH |
| 1548707144 | Maggi Quinn | Individual | Licensed Practical Nurse | Springfield, OH |
Verify this record
Cross-check NPI 1336300086 against the authoritative CMS record: view Tedros Andom, MD LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Tedros Andom, MD LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-08-05.