Terry Geurkink, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

22973 Issued in WI

Practice address

1675 Bartlett CT
Belleville, WI 53508-9712

Phone

(608) 845-8458

NPI assigned

Nov 18, 2005

Last updated

Feb 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Emergency Physicians, SC

  • Emergency Medicine Physician
  • Madison, WI
  • NPI 1588646095
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1609858117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BARTLETT CT",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BARTLETT CT",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089712",
            "telephone_number": "608-845-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEURKINK",
        "first_name": "TERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "22973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30571400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foundations Counseling Center, Inc.
• Brad K Freitag, DC
• Helia Marguerite Gagnon, MD
• George L Gay Jr., M.D.
• Joseph Paul Gayan, LPC-IT
• Courtney Golueke, MS, PC-IT
• Alexis Jade Grinnell
• Dana Rae Guetschow
• Danna Suzanne Hamlett, M.S., LMFT
• Cristie Anne Harbour, MS

• Emergency Medicine Physician in Belleville, WI
• Providers in Belleville, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.