Active NPI
Daniel Lee Thorngren III, M.D.
- Internal Medicine Physician
- Safety Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME146191
- Practice address
- 1410 Dr MLK Jr St N
Safety Harbor, FL 34695 - Phone
- (727) 726-1181
- NPI assigned
- Apr 4, 2014
- Last updated
- Feb 26, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME146191 | FL | Primary |
| Pediatrics Physician | 208000000X | ME146191 | FL | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | ME146191 | FL |
Addresses
Primary practice location
1410 Dr MLK Jr St N
Safety Harbor, FL 34695
Mailing address
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (309) 721-5475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, MI, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Chicago, Pritzker School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 E Rivulon Blvd
Suite 103
Gilbert, AZ 85297-0096
8537 Riverside Dr NE
St Petersburg, FL 33702-3750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME146191 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Altea Medical Florida PLLC | Internal Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Altea Medical Georgia PC | Internal Medicine | Current | Accepting new patients |
| Post Acute Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Dunedin Opco LLC | Past | Accepting new patients | |
| Shore Drive Opco LLC | Past | Accepting new patients |
Locations
850 9th St NW
Alabaster, AL 35007
Phone (205) 663-1338
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297
7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644
1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777
549 Sky Harbor Dr
Bldg 31
Clearwater, FL 33759
Phone (727) 724-6800
1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244
3402 W Dr Martin Luther King Jr Blvd
Fl Cancer
Tampa, FL 33607
Phone (813) 875-3950
16200 S Jog Rd
West Delray Beach, FL 33446
Phone (561) 362-9644
411 Pine St
Sylvania, GA 30467
Phone (855) 772-9700
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 432-0682
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
8020 Blanco Rd
San Antonio, TX 78216
Phone (210) 341-1155
Interoperability endpoints
- dthorngren213643@orlandohealth.medalliesdirect.net
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Aspire at the Sea - Pasadena | Skilled nursing facility | Contracted Managing Employee | Sep 1, 2023 |
| Lake Haven Nursing and Rehab Center | Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body Adp of the SNF |
Sep 1, 2023 Sep 1, 2023 Sep 1, 2023 |
| Indian Beach Nursing and Rehab Center | Skilled nursing facility | Contracted Managing Employee Operational/Managerial Control Managing Control - Governing Body |
Sep 1, 2023 Dec 30, 2024 Sep 1, 2023 |
| Shores Nursing and Rehab Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 31, 2024 Dec 31, 2024 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Sarasota, FL
- NPI 1366228132
Contracted Managing Employee, Managing Control - Governing Body, Operational/Managerial Control
-
- Pediatric Skilled Nursing Facility
- Dunedin, FL
- NPI 1740066513
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
-
- Skilled Nursing Facility
- Port St Joe, FL
- NPI 1427834290
Adp of the SNF, Operational/Managerial Control
-
dba Aviata at the Sea - Pasadena
- Skilled Nursing Facility
- South Pasadena, FL
- NPI 1811676083
Contracted Managing Employee
Organizations & group practices 11
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Cloud, FL
- NPI 1083493860
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Geriatric Medicine (Internal Medicine) Physician
- Sylvania, GA
- NPI 1407692452
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL, MI, SC
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
MI
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth, MI
- NPI 1053142000
-
- Geriatric Medicine (Internal Medicine) Physician
- Ridgeland, SC
- NPI 1538987672
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Pediatric Skilled Nursing Facility
- Dunedin, FL
- NPI 1740066513
-
dba Aviata at the Sea - Pasadena
- Skilled Nursing Facility
- South Pasadena, FL
- NPI 1811676083
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Affinity Care of Sarasota
- Community Based Hospice Care Agency
- Sarasota, FL
- NPI 1144801044
-
dba Bayfront Health St Petersburg
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
-
dba Aviata at Seminole
- Skilled Nursing Facility
- Seminole, FL
- NPI 1780363952
Nursing home
-
dba Southern Pines Nursing Center
- Skilled Nursing Facility
- New Port Richey, FL
- NPI 1033844378
Nursing home
-
- Community Based Hospice Care Agency
- Brandon, FL
- NPI 1679234231
-
- Community Based Hospice Care Agency
- Palm Harbor, FL
- NPI 1124028204
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1033537105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N ORANGE AVE STE 800",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012381",
"telephone_number": "309-721-5475",
"fax_number": "877-302-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 DR MLK JR ST N",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "34695",
"telephone_number": "727-726-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNGREN",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-04",
"last_updated": "2024-02-26",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME146191",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME146191",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME146191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.