Provider Demographics
NPI:1811050305
Name:OEHLER, TERRY LEROY (DPM)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:LEROY
Last Name:OEHLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 MILLER COURT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021
Mailing Address - Country:US
Mailing Address - Phone:720-980-3668
Mailing Address - Fax:303-934-5446
Practice Address - Street 1:8753 YATES DR
Practice Address - Street 2:UNIT 110
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6947
Practice Address - Country:US
Practice Address - Phone:720-980-3668
Practice Address - Fax:303-934-5446
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO579213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22871527Medicaid
CO71423834Medicaid
COU84444Medicare UPIN
CO71423834Medicaid
CO6069470001Medicare NSC
COC804673Medicare PIN
CO804674Medicare ID - Type UnspecifiedINDIVIDUAL
COC804674Medicare PIN