Active NPIIndividual provider

Dr. Terry L Everhart, MD

Family Medicine in Edgewater, Maryland

NPI Number1861653404
Practice location
3169 Braverton Street, Suite 201, Edgewater, MD 21037-2690
Fax
410-956-4935
Last updated
April 1, 2015

Terry Lee Everhart is a Family Medicine based in Edgewater, MD. Terry Lee Everhart practices in Edgewater, MD and has the professional credentials of MD. The NPI Number for Terry Lee Everhart is 1861653404 and holds a License No. 2010-01890 (NC). The current practice location address for Terry Lee Everhart is 3169 Braverton Street, Suite 201, Edgewater, MD 21037-2690 and can be reached out via phone at 410-956-4911 and via fax at 410-956-4935.

Provider Profile Details

NPI Number
1861653404
Provider Name
Terry Lee Everhart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3169 Braverton Street, Suite 201, Edgewater, MD 21037-2690
Phone Number
410-956-4911
Fax Number
410-956-4935
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2008
Last Update Date
April 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
3169 Braverton Street
Suite 201
Edgewater, MD 21037-2690
Zip
21037-2690
Phone Number
410-956-4911
Fax Number
410-956-4935
Edgewater, MD 21037Get directions →

Provider Business Mailing Address Details

Address
Po Box 12622
Belfast, ME 04915-4017
City
Belfast
State
ME
Zip
04915-4017
Phone Number
443-481-6480
Fax Number
443-481-6515

License Information

License Number (1)
2010-01890
License State (1)
NC
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
149428
License State (2)
NC
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
D72318
License State (3)
MD
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Terry L Everhart, MD?

The NPI number of Dr. Terry L Everhart, MD is 1861653404. It was assigned on June 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Terry L Everhart, MD?

Dr. Terry L Everhart, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NC under license number 2010-01890.

Where does Dr. Terry L Everhart, MD practice?

The practice location is 3169 Braverton Street, Suite 201, Edgewater, MD 21037-2690. The office can be reached at 410-956-4911 (phone) or 410-956-4935 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861653404 directly on the NPPES registry website.

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