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TERRA RENEE PEARSON M.D. NPI 1730320912


NPI Information

NPI: 1730320912
Provider Name: TERRA RENEE PEARSON, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: THE MEDICAL COLLEGE OF WISCONSIN INC

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
TRANSPLANT SURGERY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 955-6920
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Terra Renee Pearson, M.D. is a transplant surgery in Milwaukee, WI with 16 years of experience. The provider is definition to come. Terra Renee Pearson, M.D. NPI is 1730320912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

9200 W WISCONSIN AVE
TRANSPLANT SURGERY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 955-6920
Fax: (414) 955-6222

The NPI 1730320912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/17/2009 and was last updated on 7/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery65924WISCONSINNo
2204F00000XTransplant Surgery65924WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11730320912MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.