Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649228446 Individual Practitioner Male Practitioner

Dr. Mark A Terry , MD

Radiology - Radiological Physics • Lewiston, ID

Professional Overview & Biography Verified Profile Summary

Dr. Mark Terry, MD is a registered healthcare professional specializing in Radiology - Radiological Physics in Lewiston, ID. Practice services are available at 415 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 6th St

Lewiston, ID 835012431

Telephone 2087995335
Associated Practice Facility / Clinic
🏢 Phoenix Radiology, Pllc Facility NPI 1164493334

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Radiological Physics in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lewiston, ID (1 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiology - Radiological Physics Primary Specialty

NUCC Taxonomy Code: 2085R0205X

State License WA MD00017547

A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8255408 (WA)
Medicaid State Provider ID
003973900 (ID)
Commercial Insurance / Payer ID Dli
0227614 (WA)
Commercial Insurance / Payer ID Travelers/railroad Medicare
P00468202 (ID)
Commercial Insurance / Payer ID Blue Cross Of Idaho
77142 (ID)
Commercial Insurance / Payer ID Regence Blue Shield Of Idaho
000010165165 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Mark Peterson , MD

Radiology - Vascular & Interventional Radiology

NPI 1356312524

Doctor of Medicine (M.D.)

Dr. Michael Bell , MD

Radiology - Diagnostic Radiology

NPI 1609071760

Doctor of Medicine (M.D.)

Dr. Jeffrey Bickel , MD

Radiology - Body Imaging

NPI 1841392982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2008

Registered at 415 6TH ST, LEWISTON, ID 835012431 (Tel: 2087995335)

📍
Updated Business Mailing Address November 05, 2008

Registered at 531 4TH AVE, LEWISTON, ID 835012450 (Tel: 2087434393)

👤
Provider Name / Credentials Updated November 05, 2008

Recorded as MARK TERRY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2008

Radiology (License #MD00017547 in WA)

🟢
Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649228446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: November 05, 2008
Sole Proprietor: No

Mailing Address

531 4th Ave

Lewiston, ID 835012450

Phone: 2087434393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.