Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Terry Lee Croasdale, MD

Individual provider Internal Medicine Physician · NPI 1295713147

Dr. Terry Lee Croasdale, MD is an Internal Medicine in Manteca, California. Graduated from University of Missouri, Columbia School of Medicine in 1984, 42 years ago. Practices with Shane Speirs MD PC, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1262 E North St
Manteca, CA 95336-4962
Phone: (209) 823-7646
Fax: (209) 239-9594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C43012 (CA)

Record details

NPI number1295713147
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 1, 2006
Last updated in NPPESApril 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Shane Speirs Md Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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