Active NPI
John S Terkeurst, M.D
- Specialist
- Mountain Home, AR
National Provider Identifier
1760485833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C6476
- Practice address
- 124 Highway 201 N
Mountain Home, AR 72653-3158 - Phone
- (870) 424-3699
- Fax
- (870) 424-3707
- NPI assigned
- May 23, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C6476 | AR | Primary |
Addresses
Primary practice location
124 Highway 201 N
Mountain Home, AR 72653-3158
Mailing address
124 Highway 201 N
Mountain Home, AR 72653-3158
Phone (870) 424-3699
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117148002 | Medicaid | AR | |
| 642613 | Other | AR | FOCUS |
| 710687928 | Other | AR | TX ID # |
| 0479320001 | Other | AR | PALMETTO GBA |
| 04D0703845 | Other | AR | CLIA # |
| C6476 | Other | AR | AR LICENSE |
| 01557 | Other | AR | HEALTH SOURCE |
| 115716001 | Medicaid | AR | |
| 16020000000 | Other | AR | QUALCHOICE AR # |
| 340002978 | Other | AR | RAILROAD MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1760485833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HIGHWAY 201 N",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533158",
"telephone_number": "870-424-3699",
"fax_number": "870-424-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HIGHWAY 201 N",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533158",
"telephone_number": "870-424-3699",
"fax_number": "870-424-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERKEURST",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "C6476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117148002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOCUS",
"identifier": "642613",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX ID #",
"identifier": "710687928",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "0479320001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA #",
"identifier": "04D0703845",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR LICENSE",
"identifier": "C6476",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SOURCE",
"identifier": "01557",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115716001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE AR #",
"identifier": "16020000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "340002978",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
- Matthew A Taylor, AUD
- Shannon M Taylor, MS,CCC-SLP
- Telecare Express of Arkansas
- Brandi Telles, LPC
- Terkeurst Urology Clinic PA
- Megan Renee Terry, ANP
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Mountain Home)
- The Garretson Clinic, P.a. (Garretson Chiropractic Clinic)
- Vicky Lynn Theroux, OTR L
- Kristen Thiel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.