Stephen Terrill, M.D.
Individual provider Active NPI Emergency Medicine Physician · Hays, KS
NPI 1922074533 · NPPES record last updated Aug 19, 2016
Key facts
- NPI
- 1922074533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 04-29781 (KS)
- Practice address
- 2220 Canterbury Dr
Hays, KS 67601-2370 - Phone
- (785) 623-5555
- Fax
- (785) 623-5518
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090513000078 | MO | Practitioner - Emergency Medicine |
2062416654 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-29781 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current |
Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Emergency Medicine | Current |
Accepting new patients |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Emergency Medicine | Current |
Accepting new patients |
| Pamella S Gronemeyer | Past | Accepting new patients | |
| Red Bud Clinic Corp | Past | Accepting new patients | |
| Pegasus Emergency Group Moberly | Emergency Medicine | Past | Accepting new patients |
| DRS Pichet & Meechai | Past | Accepting new patients | |
| Hays Medical Center, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 04-29781 | KS | Yes |
Addresses
Primary practice location
2220 Canterbury Dr
Hays, KS 67601-2370
Mailing address
2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-5555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100456780A | Medicaid | KS |
Other providers in Hays, KS
- Kayla Taylor
- Natalie Ray Taylor
- No Name Given Tayyabunnisa Tahera
- Paul Cord Teget
- Kelsey M Templeman
- Tess Bennett LLC
- The Dentist PA
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
All providers in Hays, KS · Emergency Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.