DR. LEON CASS TERRY (NPI# 1801919717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801919717 |
Entity Type | Individual |
Full Name | DR. LEON CASS TERRY |
Credential | M.D. |
Practice Address |
1009 Glen Oaks Ln Suite 209 Mequon WI 53209-3377 |
Mailing Address |
1009 Glen Oaks Lane Suite 209 Mequon WI 53209 |
Practice Telephone | 2622418512 |
Practice Fax Number | 2622418516 |
Mailing Telephone | 2622418512 |
Mailing Fax Number | 2622418516 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 30088 | WI | Allopathic & Osteopathic Physicians |
Street Address |
1009 GLEN OAKS LN SUITE 209 |
City | MEQUON |
State | WI |
Zip Code | 53209-3377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
Find all providers in zip 53209 |
Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730284449 | James Edward Marotz | Neuromusculoskeletal Medicine & OMM | 1010 S Oneida St, Appleton, WI 54915-7802 | 2006-09-14 |
1750328605 | Tracy Bretl, D.o., S.c. | Neuromusculoskeletal Medicine & OMM | 250 W Coventry Ct, Glendale, WI 53217-3972 | 2006-06-01 |
1447206388 | Tracy Lynn Bretl | Neuromusculoskeletal Medicine & OMM | 6793 N Green Bay Ave, Glendale, WI 53209-3422 | 2006-05-25 |
1740259662 | Carla A Johnson | Neuromusculoskeletal Medicine & OMM | N8434 County Rd S, Algoma, WI 54201-9515 | 2006-03-14 |
1447225933 | John Edward Downs | Neuromusculoskeletal Medicine & OMM | 1709 Monroe St, Madison, WI 53711-2022 | 2006-02-20 |
1891791067 | Mark S Heberlein | Neuromusculoskeletal Medicine & OMM | 238 Front St, Cashton, WI 54619-2002 | 2005-06-22 |
1114362654 | Melanie Boly | Neuromusculoskeletal Medicine & OMM | Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 53792-0001 | 2013-05-09 |
1245308626 | Childrens Hospital of Wisconsin, Inc. | Neuromusculoskeletal Medicine & OMM | 9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874 | 2006-12-01 |
1871689042 | James R. Freeman | Neuromusculoskeletal Medicine & OMM | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-10-05 |
1568563179 | James W Kribs | Neuromusculoskeletal Medicine & OMM | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2006-09-26 |
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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.