Dr. Teresa J Harrell, M.D.
Family Medicine in Springfield, MO. Individual provider (NPI-1).
NPI number1104923218
StatusActive
Last updated in NPPESMay 26, 2023
Details
- NPI
- 1104923218
- Entity type
- Individual (NPI-1)
- Name
- Dr. Teresa J Harrell
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Certification date
- May 26, 2023
- Last updated
- May 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Sep 1, 2015 to Sep 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 108448 | MO | Yes |
Other names
- Teresa J Troy (Former Name)
Practice location
420 W College St Ste 100Springfield, MO 65806-1250
Phone 417-633-7020 · Fax 417-633-7024
Mailing address
420 W College St Ste 100Springfield, MO 65806-1250
Phone 417-633-7020 · Fax 417-633-7024
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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