Scott Terry, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OP60754062 Issued in WA

Practice address

3180 W Clearwater Ave Ste a
Kennewick, WA 99336-2765

Phone

(509) 547-2204

Fax

(509) 545-3960

NPI assigned

Mar 27, 2014

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.terry.1@21034.direct.athenahealth.com

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.

• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Kennewick, WA
  • NPI 1861698987

  Pediatrics

  Medicare reassignment NPD
• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1225145105
  NPD
• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Richland, WA
  • NPI 1750825444
  NPD
• Tri Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1659995504
  NPD (past)

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1205253184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 W 1ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 W CLEARWATER AVE STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362765",
            "telephone_number": "509-547-2204",
            "fax_number": "509-545-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 S Floyd St",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023818",
            "country_code": "US",
            "telephone_number": "502-629-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP60754062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205253184",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyson Teeples, DMD, MD
• Jenny Tegrotenhuis, M.A., M.ED., LMHC
• Malia Lynn Templeton
• Tender Connection Home Care Agency LLC
• Tender Mercies Adult Family Communities
• Elizabeth Tran Thai, MD
• Kevin Thai, DO
• Hetal Thakor, DO
• Jillian Lee Thayer, MD
• The Childs Residence

• Pediatrics Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.