Terry L Spohr, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA28 Issued in ID

Practice address

229 S. 7TH Street
St. Maries, ID 83861

Phone

(208) 245-2591

Fax

(208) 245-5246

NPI assigned

May 12, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1992756233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S. 7TH STREET",
            "city": "ST. MARIES",
            "state": "ID",
            "postal_code": "83861",
            "telephone_number": "208-245-2591",
            "fax_number": "208-245-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S. 7TH STREET",
            "city": "ST. MARIES",
            "state": "ID",
            "postal_code": "83861",
            "telephone_number": "208-245-2591",
            "fax_number": "208-245-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOHR",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA28",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002790900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970003235",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "1185830001",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William Scott Spence, MD
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• Stand Tall Physical Therapy LLC
• Allyson Hudson Sterling, DO

• Physician Assistant in St. Maries, ID
• Providers in St. Maries, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.