Individual provider Active NPI

Joshua Allen Terry, APRN, AGNP-C

  • Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1124864582
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG06240111 Issued in OH
Practice address
3611 Prospect Ave E
Cleveland, OH 44115-2703
Phone
(330) 958-2731
NPI assigned
Jul 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG06240111 OH Primary

Addresses

Primary practice location

3611 Prospect Ave E
Cleveland, OH 44115-2703

Mailing address

647 Stafford Dr
Tallmadge, OH 44278-2409
Phone (330) 958-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007003544 OH Practitioner - Nurse Practitioner 0547791139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1700 Boettler Rd
Suite 150
Green, OH 44685-6208
Phone (330) 374-1255

3825 Fishcreek Rd
Stow, OH 44224-4316

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 165
Akron, OH 44304-1488
Phone (330) 374-1255

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG06240111OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Sep 23, 2024 Accepting new patients
Summa Physicians LLC CurrentSince Sep 23, 2024 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

95 Arch St
Ste 165
Akron, OH 44304
Phone (330) 374-1180

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

201 5th St NE
Ste 3
Barberton, OH 44203
Phone (330) 374-1255

1700 Boettler Rd
Ste 150
Green, OH 44685
Phone (330) 896-4041

3780 Medina Rd
Ste 250
Medina, OH 44256
Phone (330) 253-1800

3825 Fishcreek Rd
Ste 200
Stow, OH 44224
Phone (234) 312-5656

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

Organizations & group practices 4

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 3

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": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1124864582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 STAFFORD DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782409",
            "telephone_number": "330-958-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152703",
            "telephone_number": "330-958-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOSHUA",
        "middle_name": "ALLEN",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "AG06240111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.