TERRY J. ANDERSON (NPI# 1528097102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528097102 |
| Entity Type | Individual |
| Full Name | TERRY J. ANDERSON |
| Credential | PA-C |
| Practice Address |
100 Shc Drive Byui Rexburg ID 83460-2010 |
| Practice Telephone | 2084969330 |
| Practice Fax Number | 2084969333 |
| Mailing Telephone | 2084969330 |
| Mailing Fax Number | 2084969333 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 663 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262566 | Terry Anderson | Hearing Instrument Specialist | 2248 Central Dr Ste 113, Bedford, TX 76021-5879 | 2018-07-25 |
| 1821175928 | Terry L Anderson | Dentist | 111 W Wesley St, Suite 3, Wheaton, IL 60187-5136 | 2006-11-01 |
| 1093995474 | Terry Leigh Anderson | Massage Therapist | 853 Main St, Suite C, Safety Harbor, FL 34695-3556 | 2007-11-14 |
| 1538364740 | Terry Anderson | Counselor | 300 W Wayne St, Fort Wayne, IN 46802-3608 | 2007-06-18 |
| 1649480260 | Terry Anderson | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2007-05-23 |
| 1902923659 | Terry Dawn Anderson | Physical Therapy Assistant | 723 Summers St, Parkersburg, WV 26101-6022 | 2007-03-26 |
| 1912085705 | Terry J. Anderson | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1770592891 | Terry M Anderson | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2006-08-07 |
| 1154379634 | Terry D Anderson | Anesthesiology | 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213-1324 | 2006-05-05 |
| 1285682252 | Terry A Anderson | Clinical Nurse Specialist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2006-05-04 |
| Street Address |
100 SHC DRIVE BYUI |
| City | REXBURG |
| State | ID |
| Zip Code | 83460-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405111 | Analee Fish | Nurse Practitioner | Byui Student Health Center, Rexburg, ID 83460-0001 | 2019-09-05 |
| 1760923635 | Shawn Andreasen | Pharmacist | Byu Idaho Student Health Center 179 Ctr, Rexburg, ID 83460-0001 | 2017-03-13 |
| 1992726962 | Byu Id Student Hlth Cntr PChy | Pharmacy | 179 Student Hlth Ctr, Rexburg, ID 83460-0001 | 2006-07-22 |
| 1558348649 | Hans Thurgood Redd | Internal Medicine | 100 Shc, Rexburg, ID 83460-2010 | 2005-12-29 |
| 1528044955 | David G Holland | Nurse Practitioner | Sch 100, Rexburg, ID 83460-2010 | 2005-12-19 |
| 1760467625 | Lori Ann Parker | Nurse Practitioner | Shc 100, Byu Idaho, Rexburg, ID 83460-2010 | 2005-12-13 |
| 1588654628 | Glade Southam | Nurse Practitioner | Byu - Idaho, 100 Shc, Rexburg, ID 83460-2010 | 2005-10-27 |
| 1538347034 | Byu Idaho Student Health Center | Clinic/Center | 100 Shc, Rexburg, ID 83460-2010 | 2008-02-06 |
| 1043297138 | Nancy Nadine Olsen | Nurse Practitioner | Shc 100, Rexburg, ID 83460-2010 | 2005-12-29 |
| 1831175231 | Jud E Miller | Family Medicine | Shc 100, Brigham Young University Idaho, Rexburg, ID 83460-2010 | 2005-12-16 |
| Find all providers in zip 83460 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700278553 | Chad W Hurd | Physician Assistant | 375 S 5000 W, Rexburg, ID 83440-3693 | 2015-03-02 |
| 1962585752 | Travis J Weiszhaar | Physician Assistant | 1 Professional Plz, Rexburg, ID 83440-2024 | 2006-10-23 |
| 1962438812 | Dan Loren Weber | Physician Assistant | 256 N 2nd E, Rexburg, ID 83440-1638 | 2006-06-23 |
| 1366488926 | Trent E Shaw | Physician Assistant | 72 E Main St, Rexburg, ID 83440-1926 | 2006-06-21 |
| 1740659010 | Brennen Larsen | Physician Assistant | 21 Winn Dr, Rexburg, ID 83440-5277 | 2015-09-17 |
| 1669897989 | Bryant Hansen | Physician Assistant | 72 S 1st E, Rexburg, ID 83440-1902 | 2014-02-24 |
| 1003257478 | Dave Robinson | Physician Assistant | 1236 Bond Ave Ste B, Rexburg, ID 83440 | 2013-07-12 |
| 1518212265 | David Porter Batt | Physician Assistant | 393 E 2nd N, Rexburg, ID 83440-1605 | 2012-07-18 |
| 1154618601 | Rebecca L Perez | Physician Assistant | 393 E 2nd N, Rexburg, ID 83440-1605 | 2011-07-06 |
| 1558445932 | Nichole Robson | Physician Assistant | 1 Professional Plz, Rexburg, ID 83440-2024 | 2006-10-24 |
| Find all providers in REXBURG | ||||
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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.