Basic Information
Provider Information | |||||||||
NPI: | 1437149853 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | MCKEE | ||||||||
FirstName: | TERRENCE | ||||||||
MiddleName: | I | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 2500 BERNVILLE RD | ||||||||
Address2: |   | ||||||||
City: | READING | ||||||||
State: | PA | ||||||||
PostalCode: | 196059453 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6103787900 | ||||||||
FaxNumber: | 6103781952 | ||||||||
Practice Location | |||||||||
Address1: | 2494 BERNVILLE RD STE 200 | ||||||||
Address2: |   | ||||||||
City: | READING | ||||||||
State: | PA | ||||||||
PostalCode: | 196059467 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6103787900 | ||||||||
FaxNumber: | 6103781952 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 10/26/2005 | ||||||||
LastUpdateDate: | 12/27/2017 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD055291L | PA | Y |   | Allopathic & Osteopathic Physicians | Surgery |   |
ID Information
ID | Type | State | Issuer | Description | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 25-1716306 | 01 | PA | FIRST HEALTH | OTHER | 257731 | 01 | PA | UNISON | OTHER | 7815144 | 01 | PA | AETNA NON-HMO | OTHER | 2191225 | 01 | PA | MAMSI | OTHER | 900152 | 01 | PA | PA BLUE SHIELD | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 387166 | 01 | MD | MAMSI OP CHOICE | OTHER | 50032187 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 63893301 | 01 | MD | MARYLAND BLUE SHIELD | OTHER | BM5696452 | 01 | PA | DEA | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 25-1716306 | 01 | PA | HEALTH AMERICA | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 670812 | 01 | PA | AETNA HMO | OTHER | 0018115210005 | 05 | PA |   | MEDICAID | 1551378 | 01 | PA | GATEWAY | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 812987 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | P00700656 | 01 | PA | RAILROAD MEDICARE | OTHER | 7815144 | 01 | PA | AETNA | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | MD055291L | 01 | PA | LICENSE | OTHER | 120420403 | 01 | PA | DEPT OF LABOR | OTHER | 25-1716306 | 01 | PA | GREATWEST HEALTHCARE | OTHER | G920-0111/KDM4CU | 01 | PA | CAREFIRST | OTHER |