David W Terhune, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4301063125 Issued in MI

Practice address

815 St. Joseph Drive
St. Joseph, MI 49085-2529

Phone

(269) 983-3455

Fax

(269) 983-5920

NPI assigned

Jan 4, 2006

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dterhune2939@lakeland.midirect.net

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.

• Lakeland Medical Practices

  dba Corewell Health Medical Group South

  • Internal Medicine Physician
  • Saint Joseph, MI
  • NPI 1538397120
  Medicare reassignment NPD
• Lakeland Medical Practices

  dba Corewell Health Medical Group South

  • Internal Medicine Physician
  • Bridgman, MI
  • NPI 1568232247
  NPD
• Lakeside Urology PC

  • Urology Physician
  • Saint Joseph, MI
  • NPI 1770696171
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1639157308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6461 DEANS HILL RD",
            "city": "BERRIEN CENTER",
            "state": "MI",
            "postal_code": "491029750",
            "telephone_number": "269-471-7741",
            "fax_number": "269-471-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 ST. JOSEPH DRIVE",
            "city": "ST. JOSEPH",
            "state": "MI",
            "postal_code": "490852529",
            "telephone_number": "269-983-3455",
            "fax_number": "269-983-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERHUNE",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301063125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104171481",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hiu Tung Tang
• Carlos Alberto Tavarez
• Brian Timothy Taylor
• Shervin Tehrani-Rad, PSYD, MPH
• Debora Tenter, NP
• Teter Orthotics & Prosthetics, Inc (Hanger Clinic)
• The Benton Harbor-St. Joseph Young Men's Christian Association
• The Pharmacy Shoppe, Inc. (Corewell Health Retail Pharmacy - St. Joseph)
• The Wholehearted Classoom
• The Willows

• Urology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.