John M Terry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD021101E Issued in PA

Practice address

58 West Ave
Wellsboro, PA 16901-1336

Phone

(570) 724-7477

Fax

(570) 724-3046

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Pennsylvania Department of Public Welfare

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1710089925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011336",
            "telephone_number": "570-724-7477",
            "fax_number": "570-724-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011336",
            "telephone_number": "570-724-7477",
            "fax_number": "570-724-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021101E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007909280003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard James Strauch, AU.D.
• Elena L Swain
• Donald John Sweeney, D.O.
• Pamela Taggart, CRNP
• Melissa Bruns Taylor
• The Green Home
• Thomas G. Lopatofsky, DMD, Nicole M. Quezada, DMD,PC
• Mark Thompson
• Richard M Thompson, DO
• Jessica Thornley

• Internal Medicine Physician in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.