Terry P Detrich MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

TERRY P DETRICH MD

Practice address

545 Cynwood Dr
Easton, MD 21601-3864

Phone

(410) 820-5191

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hugh Dawkins

Title

Delegated Official

Phone

(410) 822-6175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Detrich, MD

  • Neurology Physician
  • Easton, MD
  • NPI 1154433720
  Medicare reassignment NPD
• Christina M Ball, CRNP

  • Acute Care Nurse Practitioner
  • Easton, MD
  • NPI 1245684224
  NPD
• Mignonne Marie Lachapelle, LCSW

  • Clinical Social Worker
  • Easton, MD
  • NPI 1467747444
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1306490610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013864",
            "telephone_number": "410-820-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013864",
            "telephone_number": "410-820-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY P DETRICH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "410-822-6175"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volkan O Taskin, MD
• Andrew Tavernia, PT
• Kimberly M Taylor, DPT
• Sheila E. Taylor, DO
• Jody Terpil, PTA
• Terry P Detrich MD PA
• The Devon Group LLC (Comfort Keepers 596)
• The Monroe & Raglin Wellness Group (Zenbees Mental Health)
• Ainsley Thimes
• Amy Thomas Tasman, OTR/L

• Neurology Physician in Easton, MD
• Providers in Easton, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.