TERRENCE A TYRRELL (NPI# 1578516308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578516308 |
| Entity Type | Individual |
| Full Name | TERRENCE A TYRRELL |
| Credential | MD |
| Practice Address |
180 South Third Street Suite 101 Belleville IL 62220 |
| Mailing Address |
301 West Lincoln Street Suite 104 Belleville IL 62220 |
| Practice Telephone | 6182350651 |
| Practice Fax Number | 6182359722 |
| Mailing Telephone | 6182350955 |
| Mailing Fax Number | 6182359203 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R5620 | MO | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK | 141553 | 01 | |
| MEDICARE PIN | L95010 | 01 |
| Street Address |
180 SOUTH THIRD STREET SUITE 101 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124070156 | James W Farn | Radiology | 180 South Third Street, Ste 101, Belleville, IL 62220 | 2006-05-17 |
| 1801801717 | Latha Ravi | Physical Medicine & Rehabilitation | 180 South Third Street, Suite 102, Belleville, IL 62220 | 2006-07-29 |
| 1215981519 | Charles C Dumontier | Radiology | 180 South Third Street, Suite 101, Belleville, IL 62220 | 2006-05-20 |
| 1104879212 | James G Tarter | Radiology | 180 South Third Street, Ste 101, Belleville, IL 62220 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609143759 | Dean David Hageman | Radiology | 1416 Prairie Ave, Belleville, IL 62220-3681 | 2011-11-17 |
| 1376858068 | Robert Barton Bridges | Radiology | 34 Powder Valley Dr, Belleville, IL 62223-1925 | 2010-08-18 |
| 1487607982 | Gregory P Holdener | Radiology | 301 West Lincoln Street, Suite 104, Belleville, IL 62220 | 2006-05-18 |
| 1124070156 | James W Farn | Radiology | 180 South Third Street, Ste 101, Belleville, IL 62220 | 2006-05-17 |
| 1164864450 | Clinical Radiologists, S.c. | Radiology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2013-07-27 |
| 1912204447 | Christina Levchook | Radiology | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2011-02-18 |
| 1619163433 | Naveen C. Saini | Radiology | 301 West Lincoln Street, Suite 104, Belleville, IL 62220 | 2007-09-16 |
| 1316092364 | Jah Radiology Pa | Radiology | 36 Newark Ave, Suite 100, Belleville, NJ 07109-4119 | 2007-01-23 |
| 1740208602 | Joon H Minn | Radiology | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2006-07-18 |
| 1528099900 | James A Heimann | Radiology | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2006-07-05 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on TERRENCE A TYRRELL.
| 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.