Terry I Meriden MD SC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

0360586021 Issued in IL

Legal business name

TERRY I MERIDEN MD SC

Practice address

900 Main St
Suite 300
Peoria, IL 61602-1005

Phone

(309) 673-1717

Fax

(309) 673-7221

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Terry I Meriden, MD FACP FACN FACE

Title

President/Owner

Phone

(309) 673-1717

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1487927265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-673-1717",
            "fax_number": "309-673-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-673-1717",
            "fax_number": "309-673-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY I MERIDEN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "MERIDEN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "309-673-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACP FACN FACE"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "0360586021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058602",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "792111124",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9000138",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dietra Duffala Teichmann, PH.D.
• Tender Hearts Home Health
• David Tennant
• Tricia Teoh, M.D.
• Melissa Terhark, C.R.N.A
• Robert Russell Terry
• Bryan T. Tervo, D.D.S.
• Bridget Kathleen Tesher
• Sabrina Tessier, DT
• Stephanie Teufel, DPT

• Endocrinology, Diabetes & Metabolism Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.