Gerson Airel Teran, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

46128 Issued in TN

Practice address

4925 Cindy Lee CV
Conway, AR 72034-7496

Phone

(501) 697-5228

NPI assigned

Nov 5, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1639359888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 CINDY LEE CV",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347496",
            "telephone_number": "501-697-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 CINDY LEE CV",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347496",
            "telephone_number": "501-697-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "GERSON",
        "middle_name": "AIREL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "46128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Taryn Tedder, PHARMD.
• Hailey Ashlyn Tedder, RBT
• Traci Temples
• Michalli Kathleen Tencleve, OT
• Ralph Tennessee
• Terry L. Fiddler, D.D.S., P.a.
• Sunjung Kim Thao
• The Golden Touch LLC
• The Pain Medicine Consultants Group
• Therapy Assessment Center LLC

• Internal Medicine Physician in Conway, AR
• Providers in Conway, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.