MARK A TERRY


Address: 415 6th St, Lewiston, ID 83501-2431
Phone: 2087995335

MARK A TERRY (NPI# 1649228446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649228446
Entity Type Individual
Full Name MARK A TERRY
Credential MD
Practice Address 415 6th St
Lewiston
ID 83501-2431
Mailing Address 531 4th Ave
Lewiston
ID 83501-2450
Practice Telephone 2087995335
Mailing Telephone 2087434393
Mailing Fax Number 2087434214
Enumeration Date 2006-05-04
Last Update Date 2008-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0205X Radiology
Specialization: Radiological Physics
MD00017547 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA DLI 0227614 01
WA 8255408 05
ID TRAVELERS/RAILROAD MEDICARE P00468202 01
ID 003973900 05
ID REGENCE BLUE SHIELD OF IDAHO 000010165165 01
ID BLUE CROSS OF IDAHO 77142 01

Other Providers MARK TERRY

NPI Name Taxonomy Address Enumeration
1114225661 Mark Allen Terry Dentist 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 2011-03-08
1720174394 Mark W Terry Chiropractor 1415 E 3rd St, Centralia, IL 62801-4401 2006-10-04
1093797219 Mark Anthony Terry Pharmacist 3641 Lanier Dr, Douglasville, GA 30135-7165 2005-11-15
1114203841 Mark Terry Case Manager/Care Coordinator 634 W Main St, Blytheville, AR 72315-3336 2011-10-26
1760498737 Mark A Terry Ophthalmology 1040 Nw 22nd Ave, #200, Portland, OR 97210 2006-07-31
1780616730 Mark Howard Terry Dentist 1500 Alps Rd, Wayne, NJ 07470-3635 2006-07-07

Office Location

Street Address 415 6TH ST
City LEWISTON
State ID
Zip Code 83501-2431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164414595 William Westel Rowe Internal Medicine 415 6th St, Lewiston, ID 83501-2434 2005-08-22
1558995316 Hospitalist Medicine Physicians of Idaho- Nampa Pllc Emergency Medicine 415 6th St, Lewiston, ID 83501-2431 2020-03-02
1003465360 Kyle James Daly Nurse Anesthetist, Certified Registered 415 6th St, Lewiston, ID 83501-2431 2019-09-10
1184273708 Kevin Dombey Physician Assistant 415 6th St, Lewiston, ID 83501-2431 2019-09-06
1952962813 Andrea Bowen Social Worker 415 6th St, Lewiston, ID 83501-2431 2019-06-21
1881167609 Christie Kytonen Licensed Practical Nurse 415 6th St, Lewiston, ID 83501-2431 2019-01-03
1295206134 Nicholas Tieu Physician Assistant 415 6th St, Lewiston, ID 83501-2434 2018-12-17
1932670866 Jerilyn R Bodey Nurse Practitioner 415 6th St, Lewiston, ID 83501 2018-12-17
1154800522 Joanne Vestal Pharmacist 415 6th St, Lewiston, ID 83501-2434 2018-08-07
1174017701 Samantha Lynn Musser Registered Nurse 415 6th St, Lewiston, ID 83501-2431 2018-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 2085R0205X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiological Physics

Taxonomy Definition

A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.
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.

Competitor

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City LEWISTON
Zip Code 83501

Improve Information

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Dataset Information

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.

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