Organization Active NPI

Scott Terry Female Health Associates, PC

  • Specialist
  • Frankfort, IL
National Provider Identifier
1932319928
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036102112 Issued in IL
Legal business name
SCOTT TERRY FEMALE HEALTH ASSOCIATES, PC
Practice address
20325 S Graceland LN
Frankfort, IL 60423-9047
Phone
(708) 895-8497
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Toni Scott Terry, M.D.NPI 1003929175
Title
Owner
Phone
(708) 895-8497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036102112 IL Primary

Addresses

Primary practice location

20325 S Graceland LN
Frankfort, IL 60423-9047

Mailing address

430 E 162ND St
Ste 300
South Holland, IL 60473-2258
Phone (708) 895-8497

Other identifiers 1

IdentifierTypeStateIssuer
036102112MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527000469 IL Part B Supplier - Clinic/Group Practice 8628059425 Receives reassigned benefits from 1 practitioner
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

30 E 15th St
Ste 306
Chicago Hts, IL 60411
Phone (708) 755-2300

20303 Crawford Ave
Ste 230
Olympia Flds, IL 60461
Phone (708) 679-1000

1481 E 84th Pl
Merrillville, IN 46410
Phone (219) 472-0487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1932319928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST",
            "address_2": "STE 300",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-895-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 S GRACELAND LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239047",
            "telephone_number": "708-895-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT TERRY FEMALE HEALTH ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT TERRY",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-895-8497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036102112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102112",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.