Terry Aurthur Surtin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003718 Issued in MO

Practice address

4127 Mexico Rd
Saint Peters, MO 63376-6410

Phone

(636) 441-5700

Fax

(636) 441-7784

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Terry a. Surtin, D.C. P.C.

  • Chiropractor
  • Saint Peters, MO
  • NPI 1609933035
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1245265305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766410",
            "telephone_number": "636-441-5700",
            "fax_number": "636-441-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766410",
            "telephone_number": "636-441-5700",
            "fax_number": "636-441-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURTIN",
        "first_name": "TERRY",
        "middle_name": "AURTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003718",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "003718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIAD",
            "identifier": "391886617",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400388",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28169",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "109916",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Sullivan, MOT, OTR/L
• Mazen Y Sultan, DMD
• Ramez Sunna
• Superior Healthcare Physical Medicine of West County, LLC
• Surgeon'S First Choice, L.L.C.
• Andrew John Susuki, DMD
• Mary Swenson, COTA
• Ryan Anthony Swier, D.C.
• Caitlin Sykes
• Taylor Szekacs, COTA/L

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.