TERRY JOE CARLYLE (NPI# 1871641951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871641951 |
| Entity Type | Individual |
| Full Name | TERRY JOE CARLYLE |
| Credential | ATC |
| Practice Address |
903 S Oak Ave Owatonna MN 55060-3200 |
| Mailing Address |
1435 Clover Lane Se Owatonna MN 55060 |
| Practice Telephone | 5074557631 |
| Mailing Telephone | 5074511924 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 1059 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
903 S OAK AVE |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927480 | Ralph Edward Cowell Jr. | Nurse Anesthetist, Certified Registered | 903 S Oak Ave, Owatonna Hospital, Owatonna, MN 55060-3200 | 2005-07-28 |
| 1225211667 | Owatonna Hospital | Non-Pharmacy Dispensing Site | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2007-12-07 |
| 1396925814 | Owatonna Hospital | Non-Pharmacy Dispensing Site | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2007-11-13 |
| 1194922997 | Rachel Anne Kluver | Occupational Therapist | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2007-06-27 |
| 1487851200 | Sheryl Ann Mans | Physical Therapist | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2007-06-27 |
| 1205966686 | Anna K Homuth | Speech-Language Pathologist | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2007-03-06 |
| 1851467088 | Owatonna Anesthesia Services, P.a. | Nurse Anesthetist, Certified Registered | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-11-28 |
| 1316034903 | Shellie Lynette Thompson | Nurse Anesthetist, Certified Registered | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-10-06 |
| 1548361579 | Robert Francis Turnbull | Nurse Anesthetist, Certified Registered | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-09-25 |
| 1144235714 | Imaging Associates, Pa | Radiology | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295271054 | Theodore K. Trzynka | Specialist/Technologist | 1282 Concordia Ave, Saint Paul, MN 55104-5479 | 2017-01-17 |
| 1073968343 | Pt Logix, LLC | Specialist/Technologist | 2 Carlson Pkwy N, #125, Plymouth, MN 55447-4466 | 2016-04-25 |
| 1992136147 | Brian Fay | Specialist/Technologist | 1 Veterans Dr, Mc 117, Minneapolis, MN 55417-2309 | 2013-12-12 |
Please comment or provide details below to improve the information on TERRY JOE CARLYLE.
| 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.