DR. MARK HOWARD TERRIS (NPI# 1073673505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073673505 |
| Entity Type | Individual |
| Full Name | DR. MARK HOWARD TERRIS |
| Credential | MD |
| Practice Address |
1221 Mercantile Lane Largo MD 20774-5374 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 3016185500 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 0101052267 | VA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | MD21307 | DC | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | D0047366 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1221 MERCANTILE LANE |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312758 | Idongesit Iheanyichukwu Attang | Family Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2015-03-31 |
| 1699960872 | Cristina Frances Whalen | Pharmacist | 1221 Mercantile Lane, Clinical Pharmacy Department, Largo, MD 20774-0001 | 2007-09-11 |
| 1275664526 | Marie Ann Eason | Radiology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-03-08 |
| 1144360587 | Shirley Anne Vanmilder | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-02-07 |
| 1639219975 | Rhonda A Henry | Optometrist | 1221 Mercantile Lane, Largo, MD 20774 | 2007-02-07 |
| 1124174875 | Jerry Wendell Mcconnell | Internal Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2007-01-26 |
| 1942359922 | Elaine Ziavras | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2007-01-09 |
| 1811052889 | Helayne Marsha Silver | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-27 |
| 1245390749 | Howard Ian Savage | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
| 1154481653 | Sheryl L Clements | Nurse Practitioner | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139114 | Lynn Francis Sumerson | Otolaryngology | 8200 Bryan Dairy Rd, Suite 340, Largo, FL 33777-1363 | 2005-07-21 |
| 1023451754 | Christopher Joseph Leto | Otolaryngology | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2013-04-11 |
| 1881950699 | Jeffrey Michael Saeks | Otolaryngology | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2012-04-05 |
| 1063636041 | Mary Elizabeth Gorman | Otolaryngology | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-04-12 |
| 1497813448 | Elena Daniel | Otolaryngology | 1221 Mercantile Ln, Kaiser Otolaryngology, Largo, MD 20774-5374 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219899 | Hearing and Balance Centers of The Chesapeake LLC | Otolaryngology | 4000 Mitchellville Rd Ste A410, Bowie, MD 20716-3141 | 2018-06-18 |
| 1023539632 | Ent Allergy and Asthma Center PC | Otolaryngology | 11119 Rockville Pike Ste 207, North Bethesda, MD 20852-3143 | 2017-07-05 |
| 1770945917 | Michelle S Hwang | Otolaryngology | 600 N Caroline St, 6th Floor, Baltimore, MD 21205-1839 | 2016-03-27 |
| 1962817098 | Sunny Joseph Haft | Otolaryngology | James T. Frenkil Bldg, 16 S Eutaw Street, Suite 500, Baltimore, MD 21201-9000 | 2014-06-27 |
| 1790195485 | Total Ent Care LLC | Otolaryngology | 3333 N Calvert St Ste 680, Baltimore, MD 21218-6517 | 2014-05-02 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1689091522 | Omar Gasudraz Ahmed | Otolaryngology | 601 N Caroline St Ste 6011, Baltimore, MD 21287-0006 | 2014-03-27 |
| 1871936112 | Deepa J Galaiya | Otolaryngology | 601 N Caroline St Ste 6, Baltimore, MD 21287-0006 | 2013-04-16 |
| 1225392558 | Nicholas Ray Rowan | Otolaryngology | 601 N Caroline St Ste 6161, Baltimore, MD 21287-0006 | 2012-07-02 |
| 1598034183 | Edward John Drawbaugh | Otolaryngology | 19004 Cherry Tree Dr, Hagerstown, MD 21742-2633 | 2011-12-28 |
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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.