William G Terpstra, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01025462 Issued in IN

Practice address

821 N Dixon Rd
Kokomo, IN 46901-1754

Phone

(765) 452-0878

Fax

(765) 452-1826

NPI assigned

Dec 28, 2005

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Wagoner Medical Center, LLC

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1194940080
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1174500474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 7TH ST",
            "address_2": "PO BOX 38",
            "city": "BURLINGTON",
            "state": "IN",
            "postal_code": "469159441",
            "telephone_number": "765-566-3351",
            "fax_number": "765-566-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469011754",
            "telephone_number": "765-452-0878",
            "fax_number": "765-452-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERPSTRA",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01025462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "177280QQ",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00470036",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000555849BC",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100060020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Tedder
• Sonja Sue Tedlock, NP
• Kristyn J Tekulve, MD
• Elizabeth Tentler, DO
• Ejegayehu Terefe-Gifawossen, MD
• Sodienye Tetenta, MB.BS
• Leanora Thaniel
• Ashish Thapar, MD
• Emily Ilaina Tharp
• Charlotte Jane Thatcher

• Family Medicine Physician in Kokomo, IN
• Providers in Kokomo, 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 Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.