MRS. KATHLEEN M TERRENCE (NPI# 1902845621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902845621 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN M TERRENCE |
| Credential | M.D. |
| Practice Address |
80 East Main Street Canton NY 13617 |
| Mailing Address |
50 Leroy Street Potsdam NY 13676-1979 |
| Practice Telephone | 3152617180 |
| Practice Fax Number | 3152616330 |
| Mailing Telephone | 3152653300 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 216697 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02107940 | 05 | |
| NY | MVP INS PROVIDER NUMBER | 366605 | 01 |
| Street Address |
80 EAST MAIN STREET |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760821417 | Canton-potsdam Medical Practice Pllc | Clinic/Center | 80 East Main Street, Canton, NY 13617 | 2013-06-17 |
| 1912277393 | Robin Eve Gatliardi | Counselor | 80 East Main Street, Suite 255, Canton, NY 13617 | 2012-01-03 |
| 1043367535 | North Country Psychiatric Associates | Clinic/Center | 80 East Main Street, Suite 255, Canton, NY 13617 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801264098 | Dhanalakshmi Senniappan | Pediatrics | Henry Ford Canton Medical Center, 6100 N Haggerty Rd, Canton, MI 48187-2169 | 2015-09-04 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1194037150 | Pediatric Center of Canton, LLC | Pediatrics | 1445 Harrison Ave. Nw, Suite 300 & 306, Canton, OH 44708 | 2010-07-07 |
| 1194046318 | Megan Ann Olson | Pediatrics | 1051 North Canton Rd, Canton, MI 48187-5097 | 2010-06-22 |
| 1992026140 | Jordan H Weitzner | Pediatrics | 2020 Cumming Hwy Ste 102, Canton, GA 30115-8071 | 2010-06-22 |
| 1639407679 | Augusto Rafael Martinez | Pediatrics | 1208 Davenport Ave, Canton, MA 02021-1012 | 2009-12-03 |
| 1295989002 | E. A. Malacaman M. D. LLC | Pediatrics | 3120 Parkway St Nw Ste C, Canton, OH 44708 | 2008-11-06 |
| 1922261106 | Jonathan A. Cheek, M.d. | Pediatrics | 134 Riverstone Ter, Suite 103, Canton, GA 30114-1706 | 2008-07-08 |
| 1598923294 | Hayley Griffin Teich | Pediatrics | 49650 Cherry Hill Rd Suite 210, Canton, MI 48187-1920 | 2008-05-29 |
| 1699832519 | G A Carmichael Family Health Center Inc | Pediatrics | 644 Finney Road, Canton, MS 39046 | 2007-01-02 |
| Find all providers in CANTON | ||||
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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.