Organization Active NPI

Robert C. Terrill, P.a.

  • Medical Specialty Clinic/Center
  • Plano, TX
National Provider Identifier
1679875140
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D7328 Issued in TX
Legal business name
ROBERT C. TERRILL, P.A.
Practice address
1220 Coit Rd
Suite 101
Plano, TX 75075-7757
Phone
(972) 596-7227
Fax
(972) 964-3082
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Robert Clark Terrill, M.D.NPI 1902892367
Title
Owner
Phone
(972) 596-7227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D7328 TX Primary

Addresses

Primary practice location

1220 Coit Rd
Suite 101
Plano, TX 75075-7757

Mailing address

1220 Coit Rd
Suite 101
Plano, TX 75075-7757
Phone (972) 596-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000775 TX Part B Supplier - Clinic/Group Practice 7113194010 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

8600 Gaylord Pkwy
Ste 1
Frisco, TX 75034
Phone (972) 596-7227

1220 Coit Rd
Ste 101
Plano, TX 75075
Phone (972) 596-7227

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1679875140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 COIT RD",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757757",
            "telephone_number": "972-596-7227",
            "fax_number": "972-964-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 COIT RD",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757757",
            "telephone_number": "972-596-7227",
            "fax_number": "972-964-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. TERRILL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "TERRILL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-596-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "D7328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.