Individual provider Active NPI

Frederick Leroy Teribury Jr., M.D.

  • Internal Medicine Physician
  • Sayre, PA
National Provider Identifier
1982635124
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2161672 Issued in ID
Practice address
114 Desmond St
Sayre, PA 18840-2084
Phone
(570) 882-7401
Fax
(570) 882-7404
NPI assigned
Jul 5, 2006
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD427223 PA
Internal Medicine Physician 207R00000X 2161672 ID Primary

Addresses

Primary practice location

114 Desmond St
Sayre, PA 18840-2084

Mailing address

590 Old Barton Rd
Barton, NY 13734-2328
Phone (607) 321-3386

Other practice location 1

709 N Lincoln Ave
Jerome, ID 83338-1851
Phone (208) 814-9500

Other practice location 2

406 W Oak St
Titusville, PA 16354-1404
Phone (303) 390-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, TX, CO, ID5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20060817000436 PA Practitioner - Internal Medicine 1658374384 Reassigns benefits to 4 organizations
I20140716002056 NY Practitioner - Internal Medicine 1658374384 Reassigns benefits to 2 organizations
I20230510000044 TX Practitioner - Internal Medicine 1658374384 Reassigns benefits to 2 organizations
I20240418004361 CO Practitioner - Internal Medicine 1658374384 Reassigns benefits to 3 organizations
I20240917002717 ID Practitioner - Internal Medicine 1658374384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox County Hospital DistrictGroup PAC ID 5294643185, shared by 7 NPIs, 7 clinicians
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, shared by 2 NPIs, 141 clinicians

Practice addresses (Care Compare)

120 E D St
Munday, TX 76371-1961
Phone (940) 422-5271

406 W Oak St
Titiusville, PA 16354-1404
Phone (814) 827-1851

709 N Lincoln Ave
Jerome, ID 83338-1851
Phone (208) 814-9500

712 SE 5TH St
Knox City, TX 79529-2105
Phone (940) 657-3906

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, LTD. Current Accepting new patients
East Phillips County Hospital District CurrentSince Mar 11, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2014 Accepting new patients
Knox County Hospital District Current Accepting new patients
Doctors of Emergency Medicine of Illinois III, LLC CurrentSince Jul 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
East Phillips County Hospital District CurrentSince Mar 11, 2024 Accepting new patients
Knox County Hospital District CurrentSince Apr 1, 2023 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Knox County Hospital District CurrentSince Apr 1, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Dec 2, 2020 Accepting new patients
Guthrie Medical Group, P.C, CurrentSince Jul 1, 2014 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Dec 2, 2020 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
East Phillips County Hospital District Current Accepting new patients
East Phillips County Hospital District Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Sayre Health Care Center LLC Past Accepting new patients
Robert Packer Hospital Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Ahmed Clinic Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital Past Accepting new patients
Titusville Area Hospital Past Accepting new patients
Passage Sayre Operations, LLC Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

1001 E Johnson St
Holyoke, CO 80734
Phone (970) 854-2241

709 N Lincoln Ave
Jerome, ID 83338
Phone (208) 324-4301

895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

515 Main St
Olean, NY 14760
Phone (716) 373-2600

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

1 Guthrie Sq
Ste B
Sayre, PA 18840
Phone (570) 888-6666

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

701 SE 5th St
Knox City, TX 79529
Phone (940) 657-3535

711 SE 5th St
Knox City, TX 79529
Phone (940) 657-3535

712 SE 5th St
Knox City, TX 79529
Phone (940) 657-3906

Interoperability endpoints

  • Direct secure messaging: frederick.teribury.1@15466.direct.athenahealth.com

Organizations & group practices 32

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 32

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1982635124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 OLD BARTON RD",
            "city": "BARTON",
            "state": "NY",
            "postal_code": "137342328",
            "telephone_number": "607-321-3386",
            "fax_number": "570-882-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 DESMOND ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402084",
            "telephone_number": "570-882-7401",
            "fax_number": "570-882-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Jerome",
            "state": "ID",
            "postal_code": "833381851",
            "country_code": "US",
            "telephone_number": "208-814-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERIBURY",
        "first_name": "FREDERICK",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD427223",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "2161672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

Verify at the official NPI Registry.