MARK ERIC TERWILLIGER (NPI# 1386607992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386607992 |
Entity Type | Individual |
Full Name | MARK ERIC TERWILLIGER |
Credential | CPNP |
Practice Address |
200 Nola Ruth Blvd Harker Heights TX 76548-6074 |
Mailing Address |
205 E University Ave Suite 200 Georgetown TX 78626-6814 |
Practice Telephone | 8778005722 |
Practice Fax Number | 2546981673 |
Mailing Telephone | 8778005722 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2014-05-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
854069 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
200 NOLA RUTH BLVD |
City | HARKER HEIGHTS |
State | TX |
Zip Code | 76548-6074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629078506 | Luther Street | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2005-07-21 |
1457901639 | Carla Davis | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2019-09-18 |
1942665427 | Rubi Ramirez | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2015-12-28 |
1710284542 | Lone Star Circle of Care | Clinic/Center | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2011-02-14 |
1700101359 | Kofoworola Ohiomoba | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2010-04-06 |
1609008655 | Karen M Laird | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2009-08-10 |
1013171412 | Ezhilarasi Manickavasagam | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2008-07-15 |
1417095639 | Family & Children's Clinic, Pa | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2007-02-01 |
1053481390 | Denise Marie Dhawan | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2006-11-08 |
1225139934 | Robert Jean-luc Organ | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2006-09-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104109 | Bryan C Sigoloff | Pharmacist | 601 Indian Trail Dr., Harker Heights, TX 76548 | 2020-08-11 |
1558903377 | Rebecca Jean Droge | Behavior Technician | 904 Mountain Lion Circle Ste 500, Harker Heights, TX 76548 | 2019-10-14 |
1750939252 | Dianne Scott | Licensed Vocational Nurse | 611 B Pima, Harker Heights, TX 76548 | 2019-08-28 |
1972084853 | Lorrie Miller Price | Licensed Vocational Nurse | 306 Live Oak Dr, Harker Heights, TX 76548 | 2018-08-28 |
1740761592 | Thomas Wesley Newton | Physical Therapy Assistant | 1415 Indian Oaks Drive, Harker Heights, TX 76548 | 2018-08-28 |
1821575812 | Amber Cepeda | Counselor | 1420 Loblolly Dr, Harker Heights, TX 76548 | 2018-07-23 |
1609385913 | Harker Heights Periodontics Pa | Dentist | 410 E. Central Texas Expwy, Harker Heights, TX 76548 | 2017-09-29 |
1821512757 | Muwanguzi K Pllc | Dentist | 980 Knight's Way, Harker Heights, TX 76548 | 2017-08-02 |
1477915957 | Constance Elaine King | Nurse Practitioner | 850 W Central Expy, Harker Heights, TX 76548 | 2016-03-24 |
1861869588 | Jenalee Schwab | Pharmacist | 201 E Central Expy, Suite 300, Harker Heights, TX 76548 | 2015-08-28 |
Find all providers in zip 76548 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780749366 | Sandra Laverne Miller | Nurse Practitioner | 603 Red Cloud Dr, Harker Heights, TX 76548-7402 | 2006-12-26 |
1457901639 | Carla Davis | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2019-09-18 |
1942665427 | Rubi Ramirez | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2015-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
Find all providers with the same taxonomy |
City | HARKER HEIGHTS |
Zip Code | 76548 |
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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.