Terrance D Moe, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

30319-020 Issued in WI

Practice address

150 Hospital Rd
Eagle River, WI 54521-8877

Phone

(715) 479-8887

NPI assigned

Jun 30, 2006

Last updated

May 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1851329429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HOSPITAL RD",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218877",
            "telephone_number": "715-479-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HOSPITAL RD",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218877",
            "telephone_number": "715-479-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "TERRANCE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "30319-020",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "30319-020",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "30319-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31593800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale T Massignan, O.D.
• Marci McDonald, APNP
• MCHS Hospitals Inc (Marshfield Clinic Eagle River Center)
• MCHS Hospitals Inc (Marshfield Clinic Eagle River Center, RHC)
• Myrna Mitchell
• Thomas William Newkirk, RPH
• Northern Wisconsin Bone & Joint Center, LTD
• Northland Hearing Centers, Inc. (Hearing Advantage)
• Northland Pines School District
• Northwest Counseling & Guidance Clinic, Inc. (Northwest Journey - Rhinelander)

• Emergency Medicine Physician in Eagle River, WI
• Providers in Eagle River, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.