Active NPI
Coben David Thorn, M.D.
- Emergency Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35405
- Practice address
- 701 Grove Rd., Emergency Dept.
Greenville, SC 29605-4536 - Phone
- (864) 455-7000
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15339 | FL | |
| Emergency Medicine Physician | 207P00000X | 35405 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd., Emergency Dept.
Greenville, SC 29605-4536
Mailing address
1 Independence PT
Ste. 212
Greenville, SC 29615-4545
Phone (864) 797-6306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15339 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15339 | FL | MD | Chiropractor |
| 35405 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital, Inc. | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity-South Carolina LLC | Emergency Medicine | Current | Accepting new patients |
| St Francis Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Simpsonville, SC
- NPI 1255170361
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1558305995
-
- Emergency Medicine Physician
- Greenville, SC
- NPI 1194328724
-
- Emergency Medicine Physician
- Greenville, SC
- NPI 1629817630
-
- Emergency Medicine Physician
- Greenville, SC
- NPI 1780007807
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1023339017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "STE. 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD., EMERGENCY DEPT.",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054536",
"telephone_number": "864-455-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "COBEN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "15339",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "35405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "15339",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.