Terry a. Surtin, D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003718 Issued in MO

Legal business name

TERRY A. SURTIN, D.C. P.C.

Practice address

4127 Mexico Rd
Saint Peters, MO 63376-6410

Phone

(636) 441-5700

Fax

(636) 441-7784

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Terry Aurthur Surtin, DCNPI 1245265305

Title

Owner

Phone

(636) 441-5700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Cave Springs Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Aurthur Surtin, D.C.

  • Chiropractor
  • Saint Peters, MO
  • NPI 1245265305
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1609933035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766410",
            "telephone_number": "636-441-5700",
            "fax_number": "636-441-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766410",
            "telephone_number": "636-441-5700",
            "fax_number": "636-441-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY A. SURTIN, D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "SURTIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "AURTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-441-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "109916",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400388",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28169",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIAD",
            "identifier": "391886617",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cave Springs Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Taylor
• Madeline Taylor
• William A Tayon, LPC
• Dawn Marie Tegeler, LPC
• Jennifer Sophia Telmer, CPNP-PC
• Terry Diane Miller
• Tanya Terry, RN
• Donna T. Thackrey, M.D.
• Thake Chiropractic and Wellness, LLC
• Julianne Christine Thake, D.C.

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.