Terry Albert Michels

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G11922 Issued in CA

Practice address

61500 Gordons Ferry Road
Happy Camp, CA 96039-0701

Phone

(530) 493-2786

NPI assigned

Oct 19, 2007

Last updated

Oct 19, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1881883452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61500 GORDONS FERRY ROAD",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "960390701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61500 GORDONS FERRY ROAD",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "960390701",
            "telephone_number": "530-493-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "TERRY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G11922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hokanson, RDH
• Karuk Tribe (Karuk Community Health Clinic)
• Charles Sidney Lent, MSW, LCSW
• Janis Pia Madkins, DDS
• Michael a Celayeta (Clinic Pharmacy)
• Claudia Johnson Ross-McLeish, R.N.
• Vickie Marie Walden, RDA
• Deborah Jean Whitman, RDA

• General Practice Physician in Happy Camp, CA
• Providers in Happy Camp, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.