John Edward Terwilleger, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0045959 Issued in FL

Practice address

1565 Saxon Blvd Ste 202
Deltona, FL 32725-5836

Phone

(386) 851-0644

Fax

(386) 851-0664

NPI assigned

Jun 22, 2006

Last updated

Jun 28, 2021By the provider in NPPES

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)

Not enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanford Pediatric Associates PA

  • Pediatric Adolescent Medicine Physician
  • Orange City, FL
  • NPI 1124491816
  NPD (past) Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1164468351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD STE 202",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255836",
            "telephone_number": "386-851-0644",
            "fax_number": "386-851-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD STE 202",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255836",
            "telephone_number": "386-851-0644",
            "fax_number": "386-851-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Harley Strickland Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637963",
            "country_code": "US",
            "telephone_number": "386-851-0644",
            "fax_number": "386-851-0664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERWILLEGER",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0045959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044243700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariela Taylor-Mejia
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• Jetro Manipes Tenerife, PT
• Miriam Texidor, RRT
• Sokunthirith Thach, D.O.
• The Best Dentist in Deltona PLLC
• The Healing Porch LLC
• The House Next Door

• Pediatrics Physician in Deltona, FL
• Providers in Deltona, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.