Thomas J Terrell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

27873 Issued in WV

Practice address

1333 Southview Dr
Bluefield, WV 24701-4317

Phone

(304) 327-2900

Fax

(304) 327-2989

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• St. Luke'S Princeton LLC

  • General Acute Care Hospital
  • Bluefield, WV
  • NPI 1265486583
  NPD (past)
• Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
  • NPI 1790955128
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1063506152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "PIPESTEM",
            "state": "WV",
            "postal_code": "259790240",
            "telephone_number": "304-327-2900",
            "fax_number": "304-327-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 SOUTHVIEW DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014317",
            "telephone_number": "304-327-2900",
            "fax_number": "304-327-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "27873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066055000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Kenwood Taylor, O.D.
• Nicki Taylor
• Thomas Taylor
• Ada Tedder
• Uygar Teomete, MD
• The Maples Health Care, Inc
• Thomas L Conklin DDS Inc
• Dennis Thomas
• Juan Thomas
• Stacey Thomas

• Certified Registered Nurse Anesthetist in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.