Organization Active NPI

Richard F Terry MD Inc

  • Specialist
  • Wheeling, WV
National Provider Identifier
1023103892
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9894 Issued in WV
Legal business name
RICHARD F TERRY MD INC
Practice address
111 Park View LN Ste 202
Wheeling, WV 26003-5406
Phone
(304) 242-4700
Fax
(304) 242-7012
NPI assigned
Oct 4, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Ms. Tammy P. Turkaly
Title
Billing Supervisor
Phone
(304) 242-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9894 WV Primary

Addresses

Primary practice location

111 Park View LN Ste 202
Wheeling, WV 26003-5406

Mailing address

111 Park View LN Ste 202
Wheeling, WV 26003-5406
Phone (304) 242-4700

Other identifiers 1

IdentifierTypeStateIssuer
0082552000MedicaidWV

National Provider Directory

National Provider Directory

Locations

111 Park View Ln
Wheeling, WV 26003
Phone (304) 233-1180

111 Park View Ln
Ste 202
Wheeling, WV 26003
Phone (304) 242-4700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1023103892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK VIEW LN STE 202",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035406",
            "telephone_number": "304-242-4700",
            "fax_number": "304-242-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK VIEW LN STE 202",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035406",
            "telephone_number": "304-242-4700",
            "fax_number": "304-242-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F TERRY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "TURKALY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "304-242-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "9894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082552000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.