Terry P Detrich (NPI# 1154433720, PAC ID# 2062670557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1154433720 |
| PAC ID by PECOS | 2062670557 |
| Professional Enrollment ID | I20120301000438 |
| Full Name | Terry P Detrich |
| Address |
545 Cynwood Dr Easton MD 21601-3864 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | NEUROLOGY, NEUROPSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210037 | UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON |
| Address | Phone | Organization |
|---|---|---|
| 545 Cynwood Dr, Easton, MD 21601-3864 |
| Street Address |
545 CYNWOOD DR |
| City | EASTON |
| State | MD |
| Zip | 21601-3864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Ball | Nurse Practitioner | Integrace Health Inc | 501 Dutchman's Lane, Easton, MD 21601 |
| Kathryn J Meyer | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| Elizabeth R Tomar | Psychiatry | Integrace Health Inc | 501 Dutchman's Lane, Easton, MD 21601 |
| Manjit S Chowdhary | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| John E Mulflur | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| Stanley Allen Feinblum | Optometry | Easton Optical, LLC | 210 Marlboro Ave, 31 Easton Eye Care and Optical, Easton, MD 21601-2716 |
| Kyle Nicholas Kravetz | Optometry | Easton Optical, LLC | 210 Marlboro Ave, 31 Easton Eye Care and Optical, Easton, MD 21601-2716 |
| Curtis Matthew Foy | Family Medicine | Anne Arundel Physician Group LLC | 28438 Marlboro Ave, Easton, MD 21601-2732 |
| Aarti Kishen | Clinical Social Worker | 19 Bay St, Suite 2, Easton, MD 21601-2754 | |
| Alexander Earl Carpenter | Optometry | Easton Optical, LLC | 210 Marlboro Ave, Suite 31, Easton, MD 21601-2767 |
| Find all physicians in zip 21601 | |||
| City | EASTON |
| Zip Code | 21601 |
| Specialty | PSYCHIATRY |
| City + Specialty | EASTON + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.