Raymond Harris Terepka, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

153278-1 Issued in NY

Practice address

509 Coddington Rd
Ithaca, NY 14850-6013

Phone

(607) 277-0260

NPI assigned

Aug 16, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Radiology Associates of Ithaca PC

  • Diagnostic Radiology Physician
  • Ithaca, NY
  • NPI 1467566190
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1780876359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CODDINGTON RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148506013",
            "telephone_number": "607-277-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 CODDINGTON RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148506013",
            "telephone_number": "607-277-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEREPKA",
        "first_name": "RAYMOND",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "153278-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Marie Telano
• Maglichard Telusma
• Charlene Temple, LCSW-R
• Miria Teneza
• Kaori Teramura, LCSW
• Mary Anne Termotto, LMT
• Elizabeth Katherine Terry, LCSW
• George Allan Terry, LCSW-R
• Cecilia Tetzlaff, NP
• Michelle Andre Teves, DO

• Diagnostic Radiology Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.