Individual provider Active NPI

Terry Gene Sanders II, M.D.

  • Emergency Medicine Physician
  • Webster Springs, WV
National Provider Identifier
1477735355
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28219 Issued in WV
Practice address
125 Diana Dr
Webster Springs, WV 26288-9078
Phone
(304) 847-5682
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101243119 VA
Emergency Medicine Physician 207P00000X 28219 WV Primary

Addresses

Primary practice location

125 Diana Dr
Webster Springs, WV 26288-9078

Mailing address

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Other practice location 1

16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Phone (276) 258-1100

Other identifiers 1

IdentifierTypeStateIssuer
1477735355MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20181130001032 WV Practitioner - Emergency Medicine 5496823759 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Memorial Hospital IncGroup PAC ID 6709275373, 9 clinicians

Practice addresses (Care Compare)

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28219WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Hospitals, Inc Emergency Medicine CurrentSince Oct 27, 2020 Accepting new patients
Webster Memorial Hospital, Inc. Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Oct 27, 2020 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients
Oak Hill Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 28, 2023 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Johnston Memorial Hospital Past Accepting new patients
JMH Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Johnston Memorial Hospital, Inc Past Accepting new patients

Locations

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

125 Diana Dr
Webster Springs, WV 26288
Phone (304) 847-5682

Interoperability endpoints

  • Direct secure messaging: sandersterry@wcmhwv.securechart.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1477735355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117659",
            "country_code": "US",
            "telephone_number": "276-258-1100",
            "fax_number": "276-258-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TERRY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101243119",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "28219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477735355",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Springs, WV

Sources for this page

Verify at the official NPI Registry.