JOHN B TERRY (NPI# 1073610994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073610994 |
| Entity Type | Individual |
| Full Name | JOHN B TERRY |
| Credential | M.D. |
| Practice Address |
30 E Apple St Suite 5254 Dayton OH 45409-2939 |
| Practice Telephone | 9372084200 |
| Practice Fax Number | 9372084205 |
| Mailing Telephone | 9372084200 |
| Mailing Fax Number | 9372084205 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
35094832 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
35094832 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3024748 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605817 | John Medwin Terry Jr. | Peer Specialist | 2428 Autumn Run Ste B, Ardmore, OK 73401-2222 | 2018-10-22 |
| 1881757136 | John Patrick Terry | Psychologist | Psychiatry & Familey Counseling 52 Cedar Street, Worcester, MA 01609 | 2006-12-18 |
| 1710089925 | John M Terry | Internal Medicine | 58 West Ave, Wellsboro, PA 16901-1336 | 2006-09-01 |
| 1598162414 | John Terry | Psychologist | 109 Bee St, Charleston, SC 29401-5703 | 2014-11-20 |
| 1952551673 | John Anthony Terry | Case Manager/Care Coordinator | 3034 Ne Mlk Blvd, Portland, OR 97212-3053 | 2008-09-30 |
| 1255501581 | John Terry | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2008-03-03 |
| 1508949157 | John D Terry | Radiology | 1600 Diamond St, Onawa, IA 51040-1548 | 2006-10-24 |
| 1265415731 | John Carr Terry | Psychologist | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2005-11-29 |
| Street Address |
30 E APPLE ST SUITE 5254 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295086 | Pramila J Bharwani | Physician Assistant | 30 E Apple St, Suite 5253, Dayton, OH 45409-2939 | 2005-06-15 |
| 1790301836 | Linda M Gibson | Registered Nurse | 30 E Apple St, Dayton, OH 45409-2939 | 2020-06-24 |
| 1144874314 | Priscilla Ann Blevins | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2019-07-26 |
| 1700386877 | Anne Marie Flynn | Registered Nurse | 30 E Apple St, Suite 5254 A, Dayton, OH 45409 | 2018-02-15 |
| 1508376922 | Ashley Wang | Physician Assistant | 30 E Apple St, Dayton, OH 45409-2939 | 2017-10-11 |
| 1245769033 | Jessamine Sothard | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2017-06-06 |
| 1821524513 | Shanah Hammock | Nurse Practitioner | 30 E Apple St, #6250, Dayton, OH 45409-2939 | 2017-05-02 |
| 1467985283 | Fady Yousef Hijji | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-08 |
| 1902339187 | Maria Groh | Physician Assistant | 30 E Apple St, Suite 5254, Dayton, OH 45409-2939 | 2017-04-05 |
| 1336672443 | Thomas George Cheslik | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013170414 | Kiran Polisetty Sekhar | Radiology | 1563 E Dorothy Ln Ste 204, Dayton, OH 45429-3839 | 2008-07-07 |
| 1265775928 | Daniel Burritt | Radiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301679 | Mi Clinics of America | Radiology | 2950 Glendale Milford Rd Ste 520, Cincinnati, OH 45241-3131 | 2020-06-17 |
| 1033743240 | Vascular Institute of Cleveland, LLC | Radiology | 12575 Rockside Rd Ste 102, Garfield Heights, OH 44125-4571 | 2020-02-26 |
| 1891343315 | Vascular Institute of Columbus, LLC. | Radiology | 6503 E Broad St Ste 200, Columbus, OH 43213-1693 | 2019-08-28 |
| 1336585306 | Wlb Interventional, LLC | Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | 2013-05-17 |
| 1841545233 | Ram Kishore R Gurajala | Radiology | 23305 Chagrin Blvd, 405s, Beachwood, OH 44122-5549 | 2012-07-20 |
| 1578841748 | Bradley Dean Hnatiuk | Radiology | 3412 E Scarborough Rd, Cleveland Heights, OH 44118-3412 | 2011-07-21 |
| 1093021339 | Karthikeyan Damodharan | Radiology | Hb6 Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2010-08-24 |
| 1801075395 | Praveen K Malhotra Md Inc | Radiology | 531 S Eastown Road, Lima, OH 45805 | 2007-10-31 |
| 1104025972 | Khoury Surgical Group, Inc. | Radiology | 51339 National Rd, Saint Clairsville, OH 43950-9119 | 2007-07-12 |
| 1780727255 | Srikrishna Mannava | Radiology | 6488 E Main St Ste 120, Reynoldsburg, OH 43068-7310 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.