Terry L. Henderson, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01024494 Issued in IN

Legal business name

TERRY L. HENDERSON, M.D., INC.

Practice address

8801 N Meridian St Ste 208
Indianapolis, IN 46260-5315

Phone

(317) 846-4366

Fax

(317) 815-2249

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Annie T Dotlich

Title

Billing Manager

Phone

(317) 846-4366

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1043405848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 N MERIDIAN ST STE 208",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605315",
            "telephone_number": "317-846-4366",
            "fax_number": "317-815-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N MERIDIAN ST STE 208",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605315",
            "telephone_number": "317-846-4366",
            "fax_number": "317-815-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L. HENDERSON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "DOTLICH",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "317-846-4366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01024494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000083676",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Terrell, CPNP
• T Marie Terrell, RN
• Wendy Terrell, NP
• Karina Terriquez
• Tori Terrones, RBT
• Clint Terry, RBT
• Connie Terry
• Danielle J Terry, LMHC
• Deadrian Terry
• Loletia Terry, B.A., A.C.I.T.

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.