Individual provider Active NPI

Karen A Thornburg, MD

  • Internal Medicine Physician
  • Muskegon, MI
National Provider Identifier
1003938119
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301087767 Issued in MI
Practice address
2700 Baker St FL 3
Muskegon, MI 49444
Phone
(231) 737-1335
Fax
(231) 737-0534
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301087767 MI Primary

Addresses

Primary practice location

2700 Baker St FL 3
Muskegon, MI 49444

Mailing address

2700 Baker St FL 3
Muskegon, MI 49444-2157
Phone (231) 737-1335

Other practice location 1

2700 Baker St Fl 3
Muskegon, MI 49444
Phone (231) 737-1335

Other identifiers 1

IdentifierTypeStateIssuer
1003938119MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karenthornburg@hccc.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000328 MI Practitioner - Internal Medicine 3375697337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2700 Baker St
FL 3
Muskegon, MI 49444-2157
Phone (231) 737-1335

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackley Community Care Center Inc CurrentSince Nov 12, 2018 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC Internal Medicine CurrentSince Feb 7, 2018 Accepting new patients
Hackley Community Care Center, Inc CurrentSince Nov 12, 2018 Accepting new patients
Vpa PC Internal Medicine CurrentSince Feb 7, 2018 Accepting new patients

Locations

1550 Clinton St
Muskegon, MI 49442
Phone (231) 733-6910

2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1003938119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BAKER ST FL 3",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442157",
            "telephone_number": "231-737-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BAKER ST FL 3",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-737-1335",
            "fax_number": "231-737-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Baker St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "49444",
            "country_code": "US",
            "telephone_number": "231-737-1335",
            "fax_number": "231-737-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003938119",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karenthornburg@hccc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Hackley Community Care Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2700 Baker St Fl 3",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.