Danielle Terrill, MD, MPH

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

2020035218 Issued in MO

Practice address

Gahc - Occupational Health Clinic
11050 Mount Belvedere Blvd
Fort Drum, NY 13602

Phone

(315) 772-5811

NPI assigned

Apr 22, 2019

Sex

Female

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

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Preventive Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Kansas PAGroup PAC ID 5991029159, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• American Current Care of Kansas PA

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1295131324

  MO

  Medicare reassignment Care Compare group
• American Current Care of Kansas PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1851797989

  KS

  Medicare reassignment Care Compare group
• American Current Care of Kansas PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1114323243
  NPD

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1780247072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "11050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GAHC - OCCUPATIONAL HEALTH CLINIC",
            "address_2": "11050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MO",
            "license": "2020035218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Alan Tait, MD
• Lauren Takayesu, PT, DPT
• Bryan Tappen, DMD
• Whitney Tarkington, RDH
• Katlyn Tavarres
• Kenneth Herbert Thomas Jr., CASAC, LPC
• Phillip J Todd, D.O
• Cleann Toner, PHARMD
• Michele Lynn Tornabene, LCSW-C,
• Dwayne Trinidad, DENTAL ASSISTANT X2

• All providers in Fort Drum, NY
• Occupational Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.