NPIMap

Organization Active NPI

Teribury Medical Associates PC

  • Specialist
  • Sayre, PA
National Provider Identifier
1750586780
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD427223 Issued in PA
Legal business name
TERIBURY MEDICAL ASSOCIATES PC
Practice address
114 Desmond St
Sayre, PA 18840-2084
Phone
(570) 882-7401
Fax
(570) 882-7404
NPI assigned
Jun 19, 2007
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. Frederick L Teribury Jr., M.D.NPI 1982635124
Title
Owner
Phone
(570) 882-7401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD427223 PA Primary

Addresses

Primary practice location

114 Desmond St
Sayre, PA 18840-2084

Mailing address

114 Desmond St
Sayre, PA 18840-2084
Phone (570) 882-7401

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1750586780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DESMOND ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402084",
            "telephone_number": "570-882-7401",
            "fax_number": "570-882-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 DESMOND ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402084",
            "telephone_number": "570-882-7401",
            "fax_number": "570-882-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERIBURY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "TERIBURY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-882-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD427223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.