Individual provider Active NPI

Edward Francis Terrien, M.D.

  • Cardiovascular Disease Physician
  • Loris, SC
National Provider Identifier
1013928910
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M-17527 Issued in ID
Practice address
3485 Mitchell St
Loris, SC 29569-2823
Phone
(843) 756-7029
Fax
(843) 756-7033
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 042-0008878 VT
Cardiovascular Disease Physician 207RC0000X M-17527 ID Primary

Addresses

Primary practice location

3485 Mitchell St
Loris, SC 29569-2823

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

3793 McDowell Ln Ste 200
Little River, SC 29566-7892
Phone (843) 390-0877

Other practice location 2

101 William H Johnson St Ste 600
Florence, SC 29506-2773
Phone (843) 667-1891

Other identifiers 2

IdentifierTypeStateIssuer
01234564MedicaidNY
0VN1152MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220902002357 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4981612389 Reassigns benefits to 1 organization
I20231110000392 ID Practitioner - Cardiovascular Disease (Cardiology) 4981612389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983

1210 NW 16TH St
Fruitland, ID 83619-2202
Phone (208) 452-8600

130 E Boise Ave
Boise, ID 83706-4302
Phone (208) 345-4066

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

3101 E State St
Eagle, ID 83616-6232

3525 E Louise Dr
Meridian, ID 83642-6303

520 S Eagle Rd
Meridian, ID 83642-6351

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711

9850 St Lukes Dr
Nampa, ID 83687-7912

9850 W St Luke'S Dr
Nampa, ID 83687-7912

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-17527IDMDCardiovascular Disease Physician
042-0008878VTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Nov 1, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Cardiovascular Disease CurrentSince Oct 30, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Oct 30, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Nov 1, 2023 Accepting new patients
Champlain Valley Cardiology, PC Cardiovascular Disease PastSince Jan 1, 2016 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Aiken Professional Association, LLC Cardiovascular Disease Past Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

520 S Eagle Rd
Ste 400
Meridian, ID 83642

3525 E Louise Dr
Ste 220
Meridian, ID 83642
Phone (208) 706-4636

3525 E Louise Dr
Ste 400
Meridian, ID 83642

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

101 William H Johnson St
Ste 600
Florence, SC 29506
Phone (843) 667-1891

3793 McDowell Ln
Ste 200
Little River, SC 29566
Phone (843) 390-0877

3485 Mitchell St
Loris, SC 29569
Phone (843) 390-0877

Interoperability endpoints

  • Direct secure messaging: eterrien87777@directmcleodehealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1013928910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 MITCHELL ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692823",
            "telephone_number": "843-756-7029",
            "fax_number": "843-756-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3793 McDowell Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295667892",
            "country_code": "US",
            "telephone_number": "843-390-0877",
            "fax_number": "843-390-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 William H Johnson St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062773",
            "country_code": "US",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRIEN",
        "first_name": "EDWARD",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "042-0008878",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M-17527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01234564",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1152",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

Verify at the official NPI Registry.