Active NPI
Keri J Thorn, MD
- Emergency Medicine Physician
- Ronan, MT
National Provider Identifier
1073567632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10516
- Practice address
- 107 6TH Ave SW
Ronan, MT 59864-2634 - Phone
- (406) 676-4441
- Fax
- (406) 676-0835
- NPI assigned
- May 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10516 | MT | Primary |
Addresses
Primary practice location
107 6TH Ave SW
Ronan, MT 59864-2634
Mailing address
107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cpmcmedicalrecords@cpmcdirect.org |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10516 | MT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Community Hospital | Current | Accepting new patients | |
| St Lukes Community Hospital | Current | Accepting new patients | |
| St. Lukes Community Hospital | Current | Accepting new patients | |
| St. John'S Lutheran Hospital, Inc. | Current | Accepting new patients | |
| Logan Health - Whitefish | Past | Accepting new patients |
Locations
209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000
126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
Interoperability endpoints
- cpmcmedicalrecords@cpmcdirect.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Ronan, MT
- NPI 1316125677
-
- Certified Registered Nurse Anesthetist
- Ronan, MT
- NPI 1518663608
-
- Critical Access Hospital
- Libby, MT
- NPI 1952312050
-
- Rural Health Clinic/Center
- St. Ignatius, MT
- NPI 1306911169
-
- Rural Health Clinic/Center
- Eureka, MT
- NPI 1336115849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1073567632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 6TH AVE SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642634",
"telephone_number": "406-676-4441",
"fax_number": "406-676-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 6TH AVE SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642634",
"telephone_number": "406-676-4441",
"fax_number": "406-676-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "KERI",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "10516",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cpmcmedicalrecords@cpmcdirect.org",
"affiliation": "N",
"address_1": "209 Health Park Dr",
"city": "Libby",
"state": "MT",
"country_code": "US",
"postal_code": "599232001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.