Abigail Walser Terkeltoub, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-09210 Issued in NC

Practice address

2709 Blue Ridge Rd Ste 320
Raleigh, NC 27607-6462

Phone

(919) 876-7692

NPI assigned

Jun 21, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Denis I Becker MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Raleigh, NC
  • NPI 1053502559
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1891356853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 LEGACY FALLS DR APT 302",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD STE 320",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-876-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERKELTOUB",
        "first_name": "ABIGAIL",
        "middle_name": "WALSER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-09210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1161932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "0010-09210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Tenney, PHARMD, RPH
• Kayla Tenny
• Terapias Inc
• Carol A Tercyak, PT
• Teresa Terezis, M.D.
• Alfred J. Terlaje, MPT, CSCS
• Delouis Terlonge Jr., MD
• Claire Tero
• Terra Firma Nature Inspired Therapy, PLLC
• Deneen Terrell Montgomery, PHARMD

• Medical Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.