Active NPI
Jeffrey Thorne, M.D.
- Reproductive Endocrinology Physician
- King of Prussia, PA
National Provider Identifier
1043571144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD467812
- Practice address
- 625 Clark Ave Ste 17B
King of Prussia, PA 19406-1438 - Phone
- (215) 654-1544
- Fax
- (215) 654-1543
- NPI assigned
- Jun 5, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | MD467812 | PA | Primary |
Addresses
Primary practice location
625 Clark Ave Ste 17B
King of Prussia, PA 19406-1438
Mailing address
625 Clark Ave Ste 17B
King of Prussia, PA 19406-1438
Phone (215) 654-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD467812 | Other | PA | MD LICENSE |
Other names 1
- N/a N/a
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD467812 | PA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rma of Philadelphia Surgical Center LLC | Past | Accepting new patients | |
| Reproductive Medicine Associates of Philadelphia | Reproductive Endocrinology | Past | Accepting new patients |
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.
-
- Reproductive Endocrinology Physician
- Wayne, PA
- NPI 1144200015
-
- Ambulatory Surgical Clinic/Center
- Wayne, PA
- NPI 1750696134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1043571144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLARK AVE STE 17B",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061438",
"telephone_number": "215-654-1544",
"fax_number": "215-654-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 CLARK AVE STE 17B",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061438",
"telephone_number": "215-654-1544",
"fax_number": "215-654-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "PA",
"license": "MD467812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "MD467812",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "MD, MS, MA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.