Active NPI
Parley Kurt Thorderson, MD
- Orthopaedic Hand Surgery Physician
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 10958
- Practice address
- 350 Heritage Way
Suite 1200
Kalispell, MT 59901-3158 - Phone
- (406) 752-6784
- Fax
- (406) 756-4111
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 10958 | MT | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 10958 | MT | Primary |
Addresses
Primary practice location
350 Heritage Way
Suite 1200
Kalispell, MT 59901-3158
Mailing address
350 Heritage Way
Suite 1200
Kalispell, MT 59901-3158
Phone (406) 752-6784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033165758 | Medicaid | MT | |
| 1033165758 | Other | MT | BCBS |
Other names 1
- Kurt Thorderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060223000274 | MT | Practitioner - Orthopedic Surgery | 8325940109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10958 | MT | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Orthopedics and Sports Medicine LLC | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
350 Heritage Way
Kalispell, MT 59901
Phone (406) 890-7432
350 Heritage Way
Ste 1200
Kalispell, MT 59901
Phone (406) 756-4112
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
202 Conway Dr
Ste 100
Kalispell, MT 59901
Phone (406) 751-5666
Organizations & group practices 2
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.
-
dba Northwest Orthopedics and Sports Medicine
- Clinic/Center
- Kalispell, MT
- NPI 1184679391
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1033165758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HERITAGE WAY",
"address_2": "SUITE 1200",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013158",
"telephone_number": "406-752-6784",
"fax_number": "406-756-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HERITAGE WAY",
"address_2": "SUITE 1200",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013158",
"telephone_number": "406-752-6784",
"fax_number": "406-756-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORDERSON",
"first_name": "PARLEY",
"middle_name": "KURT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MT",
"license": "10958",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MT",
"license": "10958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033165758",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1033165758",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KURT",
"last_name": "THORDERSON",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.