David Thetford, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5585 Issued in TX

Practice address

275 Casino Dr
Amarillo, TX 79118-3816

Phone

(806) 884-9943

NPI assigned

Oct 2, 2006

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altus Exceptional Physician Group PLLCGroup PAC ID 0042662462, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CCN 670330 Hospital, CCN 670330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHAHCA/Endpoint/FHAHCA

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

• Altus Exceptional Physician Group PLLC

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1730869207
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Exceptional Physicians Group Lubbock Hospital PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1275317646
  Medicare reassignment NPD
• Texas ER Group PLLC

  • Emergency Medicine Physician
  • Lumberton, TX
  • NPI 1235829359
  Medicare reassignment NPD
• David W Thetford DO PA

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1144490442
  Authorized official Same address or phone
• Exceptional Health Care Lubbock LLC

  dba Exceptional Community Hospital Lubbock

  • Special Hospital
  • Lubbock, TX
  • NPI 1124766514
  NPD (past)

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

• Amarillo North Texas Emergency Center, LLC

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1386325801

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1033202809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 16TH ST",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224802",
            "telephone_number": "806-244-5668",
            "fax_number": "806-244-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CASINO DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791183816",
            "telephone_number": "806-884-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THETFORD",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Turn Center
• The Well Amarillo Inc
• Therapeutic Hands of TX LLC
• Therapy Workshops LLC
• Amanda Leigh Thetford, LCSW
• Matthew Ryan Thigpen
• Thinh Luong, DDS, P.a.
• Skyler Ryan Thipaphay, MD
• Thomas E. Creek Vahcs
• Thomas E. Creek Veterans Affairs Medical Center

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.