Provider Demographics
NPI:1659401776
Name:TERPSTRA, DANIEL JOHN (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOHN
Last Name:TERPSTRA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS012645207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
50079089OtherKEYSTONE HEALTH PLAN CENTRAL
3533580000OtherKEYSTONE HEALTH PLAN EAST
119505OtherGEISINGER HEALTH PLAN
1554332OtherUNITED HEALTHCARE
2055741OtherHIGHMARK BLUE SHIELD
3533580000OtherAMERIHEALTH
50079089OtherCAPITAL BLUE CROSS
1526935OtherGATEWAY HEALTH PLAN
3533580000OtherINDEPENDENCE BLUE CROSS
9312170OtherAETNA PPO
823173OtherFIRST PRIORITY HEALTH
PA128829Medicare PIN