Active NPI
Terrance McGovern, D.O.
- Emergency Medicine Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A15284
- Practice address
- 703 Main St
Paterson, NJ 07503-2621 - Phone
- (973) 754-2918
- Fax
- (973) 754-2516
- NPI assigned
- Jun 30, 2013
- Last updated
- Jun 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 20A15284 | CA | Primary |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503-2621
Mailing address
2100 Powell St
Ste 900
Emeryville, CA 94608-1844
Phone (510) 851-7423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
1250 E Almond Ave
Madera, CA 93637-5606
Phone (559) 675-5501
1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15284 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Santa Ynez River Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
Locations
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Lompoc, CA
- NPI 1396210597
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1164862504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "510-851-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2918",
"fax_number": "973-754-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "TERRANCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-30",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A15284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.