Active NPI
Theresa M Terem, MD
- Surgery Physician
- Tacoma, WA
National Provider Identifier
1417020496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00024879
- Practice address
- 3315 S 23Rd St Ste 200
Tacoma, WA 98405-1616 - Phone
- (253) 552-1200
- Fax
- (253) 552-1239
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00024879 | WA | Primary |
Addresses
Primary practice location
3315 S 23Rd St Ste 200
Tacoma, WA 98405-1616
Mailing address
3315 S 23Rd St Ste 200
Tacoma, WA 98405-1616
Phone (253) 552-1200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0257059 | Other | WA | STATE L&I |
| TE2772 | Other | WA | REGENCE BLUE SHIELD |
| 1029420 | Medicaid | WA | |
| TE2772 | Other | WA | PREMERA BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Rainier Surgical Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Tacoma, WA
- NPI 1033277694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1417020496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 S 23RD ST STE 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051616",
"telephone_number": "253-552-1200",
"fax_number": "253-552-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 S 23RD ST STE 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051616",
"telephone_number": "253-552-1200",
"fax_number": "253-552-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEREM",
"first_name": "THERESA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00024879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0257059",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "TE2772",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029420",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS",
"identifier": "TE2772",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.