DR. CAROLYN M TERRY (NPI# 1629178595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629178595 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN M TERRY |
| Credential | M.D. |
| Practice Address |
12200 Preston Rd Dallas TX 75230-2223 |
| Practice Telephone | 9725602667 |
| Practice Fax Number | 9722396649 |
| Mailing Telephone | 9725602667 |
| Mailing Fax Number | 9722396649 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
K6509 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 8M5533 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609178607 | Carolyn L Terry | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2010-11-23 |
| 1043257785 | Carolyn W Terry | Pediatrics | 402 N Keene St, Ste 101, Columbia, MO 65201-6986 | 2006-06-01 |
| Street Address |
12200 PRESTON RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376577890 | Kenneth H Cooper | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-07-10 |
| 1700243193 | Pamela Margaret Walker | Clinical Neuropsychologist | 12200 Preston Rd, Dallas, TX 75230-2223 | 2016-01-15 |
| 1285758995 | James Stray Gunderson | Orthopaedic Surgery | 12200 Preston Rd, Dallas, TX 75230-2223 | 2007-03-19 |
| 1215078076 | Julia L Humphrey | Radiology | 12200 Preston Rd, Dallas, TX 75230-2223 | 2007-02-12 |
| 1740328574 | John S Ho | Nuclear Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2007-02-02 |
| 1144378910 | Richard Riley Constant | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2007-01-08 |
| 1679633135 | Abram M Eisenstein | Internal Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-12 |
| 1164582383 | Steven Michael Clark | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-11 |
| 1003975525 | Gail S Lebovic | Surgery | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-08 |
| 1043378714 | Michele A Kettles | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1578585386 | John Thomas Carlo | Preventive Medicine | 351 W Jefferson Blvd, Suite 300, Dallas, TX 75208-4859 | 2006-07-24 |
| 1376577890 | Kenneth H Cooper | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-07-10 |
| 1902898851 | Anthony B. Way | Preventive Medicine | 4334 Melissa Ln, Dallas, TX 75229-4113 | 2005-08-17 |
| 1194062323 | David Shaw Nilasena | Preventive Medicine | 1301 Young St, Room 714, Dallas, TX 75202-5433 | 2013-01-08 |
| 1952615288 | Steven Gerard Wilson | Preventive Medicine | 2377 N Stemmons Fwy, Dallas, TX 75207-2710 | 2010-07-28 |
| 1164648754 | Lisa Marie Mcadams | Preventive Medicine | 1301 Young St, Room 833, Dallas, TX 75202-5433 | 2007-04-18 |
| 1144378910 | Richard Riley Constant | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2007-01-08 |
| 1164582383 | Steven Michael Clark | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-11 |
| 1043378714 | Michele A Kettles | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-12-05 |
| Find all providers in DALLAS | ||||
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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.