Individual provider Active NPI

Matthew John Terhark, D.O.

  • Family Medicine Physician
  • Denison, TX
National Provider Identifier
1366892606
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10058109 Issued in TX
Practice address
1528 W Day St
Denison, TX 75020-5207
Phone
(952) 994-7464
NPI assigned
Jun 17, 2016
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10058109 TX Primary
Family Medicine Physician 207Q00000X R4485 TX

Addresses

Primary practice location

1528 W Day St
Denison, TX 75020-5207

Mailing address

5016 S US Highway 75
Denison, TX 75020-5207
Phone (903) 416-4000

Other identifiers 1

IdentifierTypeStateIssuer
BP10058109OtherTXPHYSICIAN IN TRAINING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20180207001477 TX Practitioner - Family Practice 5597025734 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

200 S Geneva St
Breckenridge, TX 76424-4702
Phone (254) 559-2241

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10058109TXMDFamily Medicine Physician
R4485TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Dec 30, 2017 Accepting new patients
Hospitalist Medicine Physicians of Texas - Cypress PLLC CurrentSince Dec 12, 2024 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 30, 2017 Accepting new patients
Concord North Texas, PLLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

5016 US Highway 75
Denison, TX 75020
Phone (903) 416-3650

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

928 Garland Johnston Dr
Vernon, TX 76384
Phone (940) 553-2923

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: matthew.terhark.1@11284.direct.athenahealth.com
  • Direct secure messaging: matthew.terhark.2@6815.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1366892606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 S US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750205207",
            "telephone_number": "903-416-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 W DAY ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750205207",
            "telephone_number": "952-994-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERHARK",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10058109",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING",
            "identifier": "BP10058109",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.