DR. MELISSA MCGOWAN TERRILL (NPI# 1013907310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013907310 |
| Entity Type | Individual |
| Full Name | DR. MELISSA MCGOWAN TERRILL |
| Other Name | MELISSA MARIE MCGOWAN |
| Credential | O.D. |
| Practice Address |
10 Tower Dr Dean Medical Center Sun Prairie WI 53590-1239 |
| Practice Telephone | 6088253008 |
| Practice Fax Number | 6088253794 |
| Mailing Telephone | 6088253008 |
| Mailing Fax Number | 6088253794 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3026-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38627300 | 05 | |
| WI | DEAN HEALTH INSURANCE | 60435 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042798 | Melissa Gail Terrill | Case Manager/Care Coordinator | 2005 Ridge Rd, Bakersfield, CA 93305-4123 | 2017-09-27 |
| Street Address |
10 TOWER DR DEAN MEDICAL CENTER |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760989982 | Kimberly K Ward | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-04-13 |
| 1205331303 | Laura A. Jacobson | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-03-29 |
| 1194242917 | Ashley M Braithwaite | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-08-23 |
| 1609315159 | Kailene L Devries | Physician Assistant | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-02-16 |
| 1992250112 | Amanda E Conway | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-17 |
| 1134673783 | Stephanie M Johnson | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-12 |
| 1912361452 | Lindsey W Engel | Family Medicine | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-04-11 |
| 1154796357 | Eva Balfanz | Counselor | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2015-12-14 |
| 1568839181 | Jolene E Appiah | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2015-08-31 |
| 1194122861 | Laura B Pethan | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407801152 | Trevor J Baldwin | Optometrist | 1721 W Main St, Sun Prairie, WI 53590-3161 | 2006-05-23 |
| 1003871302 | Richard Thomas Wright | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2006-04-19 |
| 1255993036 | Kristin Marie Mcardle | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2019-07-02 |
| 1720641343 | Clements Vision Care | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2019-04-18 |
| 1013237155 | Jennifer Marie Groehler | Optometrist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2010-06-10 |
| 1154552875 | Jeffrey Clements | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2009-07-29 |
| 1437380250 | Wright Vision Care, LLC | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2009-07-28 |
| 1790896942 | Richard T Wright, Od | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2006-08-31 |
| 1912952037 | Frank E Baldwin | Optometrist | 1721 W Main St, Sun Prairie, WI 53590-3161 | 2006-05-24 |
| 1518915966 | Frederic Troy Gordon | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2006-05-05 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.