Basic Information
Provider Information
NPI: 1659401776
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TERPSTRA
FirstName: DANIEL
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2775 SCHOENERSVILLE RD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177307
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6108070366
Practice Location
Address1: 2775 SCHOENERSVILLE RD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177307
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6108070366
Other Information
ProviderEnumerationDate: 03/07/2007
LastUpdateDate: 12/17/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XOS012645PAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
205574101 HIGHMARK BLUE SHIELDOTHER
353358000001 INDEPENDENCE BLUE CROSSOTHER
5007908901 KEYSTONE HEALTH PLAN CENTRALOTHER
353358000001 KEYSTONE HEALTH PLAN EASTOTHER
931217001 AETNA PPOOTHER
5007908901 CAPITAL BLUE CROSSOTHER
82317301 FIRST PRIORITY HEALTHOTHER
152693501 GATEWAY HEALTH PLANOTHER
353358000001 AMERIHEALTHOTHER
11950501 GEISINGER HEALTH PLANOTHER
155433201 UNITED HEALTHCAREOTHER


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