TERRY L SPRAGUE (NPI# 1316905888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316905888 |
| Entity Type | Individual |
| Full Name | TERRY L SPRAGUE |
| Credential | DO |
| Practice Address |
222 Broadway Audubon Medical Clinic Audubon IA 50025 |
| Practice Telephone | 7125634206 |
| Practice Fax Number | 7125632001 |
| Mailing Telephone | 7125634206 |
| Mailing Fax Number | 7125632001 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01713 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICAID HOSPITAL | 0152082 | 01 |
| IA | 0638536 | 05 | |
| IA | WELLMARK | 15208 | 01 |
| IA | MEDICARE B | I3937 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255503926 | Terry Eugene Sprague | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2008-04-02 |
| Street Address |
222 BROADWAY AUDUBON MEDICAL CLINIC |
| City | AUDUBON |
| State | IA |
| Zip Code | 50025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316998289 | T L Sprague Do PC | Clinic/Center | 222 Broadway, Audubon Medical Clinic, Audubon, IA 50025-1199 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316901580 | Carol Klocke | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-14 |
| 1316900319 | George Smith | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-10 |
| 1154390797 | William Evans Barron | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-03-16 |
| 1518931286 | Audubon County Memorial Hospital | Medicare Defined Swing Bed Unit | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1730153420 | Audubon County Memorial Hospital | Emergency Medicine | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1710951686 | Audubon County Memorial Hospital | General Acute Care Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-15 |
| 1841340270 | James Michael Cunningham | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2007-01-10 |
| 1114919818 | Shelley Brinkman Diehl | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1056 | 2005-08-18 |
| 1770931412 | Rae Marie Mcdivitt | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1056 | 2016-06-02 |
| 1548654189 | Charles Ryan Burkett | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2015-03-21 |
| Find all providers in zip 50025 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063689131 | Audubon Acupuncture Inc | Family Medicine | 6000 Shannondell Dr, Audubon, PA 19403-5639 | 2008-05-08 |
| 1841340270 | James Michael Cunningham | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2007-01-10 |
| 1144318858 | Francis Lopes | Family Medicine | 141 S White Horse Pike, Audubon, NJ 08106 | 2006-10-10 |
| 1205931797 | William H Bromley II | Family Medicine | 726 S White Horse Pike, Suite 2, Audubon, NJ 08106-1326 | 2006-09-13 |
| 1194748277 | Natu Patel Md PC | Family Medicine | 2792 Egypt Rd, Audubon, PA 19403-2255 | 2006-07-26 |
| 1003847518 | Natu R Patel | Family Medicine | 2792 Egypt Road, Audubon, PA 19403-2255 | 2006-07-05 |
| 1508807330 | Nilesh V. Patel | Family Medicine | 2793 Egypt Rd, Suite 409, Audubon, PA 19403-2254 | 2006-06-10 |
| 1770577900 | Dana Burkholder | Family Medicine | 20000 Shannondell Dr, Audubon, PA 19403 | 2005-09-02 |
| 1194227207 | Jodie Black | Family Medicine | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2018-03-05 |
| 1871039180 | Kennedy Medical Group Practice P.C. | Family Medicine | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2017-01-10 |
| Find all providers in AUDUBON | ||||
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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.