Active NPI
Terrence R. Lock, M.D.
- Orthopaedic Surgery Physician
- Detroit, MI
National Provider Identifier
1043386410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301047574
- Practice address
- Henry Ford Hospital Fitness CN
6525 Second Street
Detroit, MI 48202 - Phone
- (313) 972-4200
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301047574 | MI | Primary |
Addresses
Primary practice location
Henry Ford Hospital Fitness CN
6525 Second Street
Detroit, MI 48202
Mailing address
Henry Ford Hospital Fitness CN
6525 Second Street
Detroit, MI 48202
Phone (313) 972-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL047574 | Other | CHAMPUS-CHAMPUS | |
| TL047574 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Universe, PLLC | Past | Accepting new patients |
Interoperability endpoints
- tlock12849@direct.hfhs.org
Organizations & group practices 1
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.
-
- Specialist
- Bloomfield Hills, MI
- NPI 1023435856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043386410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HOSPITAL FITNESS CN",
"address_2": "6525 SECOND STREET",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-972-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HOSPITAL FITNESS CN",
"address_2": "6525 SECOND STREET",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-972-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCK",
"first_name": "TERRENCE",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301047574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "TL047574",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "TL047574",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.