DR. GREGORY SCOTT TERRELL (NPI# 1861400806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861400806 |
| Entity Type | Individual |
| Full Name | DR. GREGORY SCOTT TERRELL |
| Credential | MD |
| Practice Address |
5201 S Broadway Ave Ste 200 Tyler TX 75703-3748 |
| Mailing Address |
108 W Clarksville St Jefferson TX 75657-1818 |
| Practice Telephone | 9035956078 |
| Mailing Telephone | 8064207419 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
K1695 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861963779 | Gregory Michael Terrell Jr. | Technician | 1615 Olive St Ne Apt 1, Washington, DC 20019-2738 | 2018-12-17 |
| Street Address |
5201 S BROADWAY AVE STE 200 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255883625 | Momentum Er Physicians Pllc | Emergency Medicine | 5011 Troup Hwy, 100, Tyler, TX 75707-2562 | 2016-11-01 |
| 1013375740 | Cec Tyler Er Physicians Pllc | Emergency Medicine | 1809 Capital Dr, Tyler, TX 75701-8438 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776208 | Atj Community Services | Emergency Medicine | 3636 Creek View Cir, Dallas, TX 75233-1704 | 2020-09-28 |
| 1053925636 | Code 4 Emergency Services LLC | Emergency Medicine | 1901 E 51st St, Austin, TX 78723-3040 | 2020-09-01 |
| 1912510710 | Post Oak Physician Group, Pllc | Emergency Medicine | 3101 Golfcrest Blvd, Houston, TX 77087-2405 | 2020-08-31 |
| 1063039790 | Victory Ambulance Care LLC | Emergency Medicine | 210b N 5th St, Carrizo Springs, TX 78834-3104 | 2020-06-29 |
| 1225652779 | Rgv Urgent Care Clinic Mcallen LLC | Emergency Medicine | 2812 W Nolana Ave Ste 210, Mcallen, TX 78504-4190 | 2020-06-01 |
| 1760022776 | Kyle Ip, Pllc | Emergency Medicine | 5615 Kyle Center Dr, Kyle, TX 78640-6553 | 2020-01-08 |
| 1659832160 | Red River Ep Pllc | Emergency Medicine | 2022 N Us Highway 75, Sherman, TX 75090-2802 | 2019-03-27 |
| 1588135024 | Scott Allen Frankel | Emergency Medicine | 5205 Pine St, Bellaire, TX 77401-4820 | 2018-12-10 |
| 1104324433 | Anc Physicians Group Pllc | Emergency Medicine | 1860 S Seguin Ave Ste 400, New Braunfels, TX 78130-3915 | 2018-02-01 |
| 1780197574 | 4642 N Mesa Er Physicians Pllc | Emergency Medicine | 4642 N Mesa St., El Paso, TX 79912 | 2017-11-15 |
| Find all providers with the same taxonomy | ||||
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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.