Individual provider Active NPI

Keri J Thorn, MD

  • Emergency Medicine Physician
  • Ronan, MT
National Provider Identifier
1073567632
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10516 Issued in MT
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

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
10516MTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Community Hospital CurrentSince Feb 8, 2014 Accepting new patients
St Lukes Community Hospital CurrentSince Feb 8, 2014 Accepting new patients
St. Lukes Community Hospital Current Accepting new patients
St. John'S Lutheran Hospital, Inc. CurrentSince Feb 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.