Individual provider Active NPI

Parley Kurt Thorderson, MD

  • Orthopaedic Hand Surgery Physician
  • Kalispell, MT
National Provider Identifier
1033165758
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
10958 Issued in MT
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

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1033165758MedicaidMT
1033165758OtherMTBCBS

Other names 1

  • Kurt Thorderson Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000274 MT Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8325940109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10958MTMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopedics and Sports Medicine LLC CurrentSince Jan 2, 2006 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.

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

Verify at the official NPI Registry.