Terrence Wesley Leveck, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

20446 Issued in KY

Practice address

188 Hospital LN
Jellico Community Hospital
Jellico, TN 37762-4400

Phone

(800) 944-7252

Fax

(800) 305-3233

NPI assigned

Mar 14, 2006

Last updated

Dec 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dchtleveck@yourcarecommunity.org

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.

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• Emcare Physician Providers, Inc.

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• Jellico Emergency Physicians Medical Group PC

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  • Jellico, TN
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  NPD (past)
• Pine Mountain Emergency Physicians

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  • Jellico, TN
  • NPI 1407024979
  NPD (past)
• Sycamore Emergency Physicians LLC

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  • Lafayette, TN
  • NPI 1346264975
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1255300182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 PLANTATION BLVD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873260",
            "telephone_number": "615-444-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL LN",
            "address_2": "JELLICO COMMUNITY HOSPITAL",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377624400",
            "telephone_number": "800-944-7252",
            "fax_number": "800-305-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVECK",
        "first_name": "TERRENCE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "20446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jellico Wellness and Convenient Care Clinic, LLC (Jellico Wellness Behavioral Health)
• JLC Beechtree Inc
• Kabir Clinic LLC
• Mohammed Humayun Kabir, MD
• Suzanne Musick Kitts, PHARMD
• Frederick Warren Martin, O.D.
• Cynthia Ann Mason, LPC-MHSP
• Maximum Potential Physical Therapy, PLLC
• Memorial Hospital, Inc. (Sunbelt Homecare)
• Natalie Sue Nantz, PHARMD

• Emergency Medicine Physician in Jellico, TN
• Providers in Jellico, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.