John D Terry, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22564 Issued in IA

Practice address

1600 Diamond St
Onawa, IA 51040-1548

Phone

(712) 423-2311

Fax

(712) 423-9362

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069
  NPD (past)
• Midwest Medical Imaging Center Inc

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1902975386

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1508949157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241279",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681245279",
            "telephone_number": "402-397-1531",
            "fax_number": "402-397-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIAMOND ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401548",
            "telephone_number": "712-423-2311",
            "fax_number": "712-423-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "22564",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "15071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7914150",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stangel Pharmacy Inc
• Aaron Stangel, PHARMD
• Shayla Stephens, CADC
• Jennifer Lynn Stodden, PAC
• Jessica Regi Stuhrenberg, LMFT, CADC
• Whitney Alyssa Terry, COTA
• Vision Care Clinic PC
• West Monona Community School District
• Jayna Woolridge, LMSW

• All providers in Onawa, IA
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.