Individual provider Active NPI

Jordan L Thornburg, PA-C

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1073906426
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02121 Issued in KS
Practice address
6725 SW 29TH St
Topeka, KS 66614-5625
Phone
(785) 354-0517
Fax
(785) 478-1508
NPI assigned
Mar 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02121 KS Primary

Addresses

Primary practice location

6725 SW 29TH St
Topeka, KS 66614-5625

Mailing address

6725 SW 29TH St
Topeka, KS 66614-5625
Phone (785) 354-0517

Other practice location 1

8072 Normandy Dr
Ft Riley, KS 66442-7069
Phone (785) 240-5602

Other practice location 2

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 270-0047

Other practice location 3

1516 SW 6th Ave
Topeka, KS 66606-1696
Phone (785) 270-0047

Other practice location 4

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0047

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jthornburg80618@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address jthornburg80618@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211001730 KS Practitioner - Physician Assistant 3476819608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Kansas PAGroup PAC ID 2062683808, 17 clinicians

Practice addresses (Care Compare)

1516 SW 6TH Ave
Topeka, KS 66606-1696

1700 SW 7TH St
Emergency Services of Kansas PA
Topeka, KS 66606-2489
Phone (785) 295-8000

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 354-9591

6725 SW 29TH St
Topeka, KS 66614-5625
Phone (785) 270-4000

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Hospital & facility affiliations

  • Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-02121KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Nov 19, 2018 Accepting new patients
Emergency Services of Kansas, P.a. Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Nov 19, 2018 Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

4505 NW Fielding Rd
Topeka, KS 66618
Phone (785) 270-0047

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

1516 SW 6th Ave
Topeka, KS 66606
Phone (785) 232-1005

901 SW Garfield Ave
Topeka, KS 66606

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047

2909 SE Walnut Dr
Topeka, KS 66605
Phone (785) 267-0744

1700 SW 7th St
#O
Topeka, KS 66606
Phone (785) 295-8000

711 Genn Dr
Wamego, KS 66547
Phone (785) 456-2295

Interoperability endpoints

  • Direct secure messaging: jordan.thornburg.1@20807.direct.athenahealth.com
  • Direct secure messaging: jthornburg80618@stormontvaildirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1073906426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145625",
            "telephone_number": "785-354-0517",
            "fax_number": "785-478-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145625",
            "telephone_number": "785-354-0517",
            "fax_number": "785-478-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8072 Normandy Dr",
            "address_purpose": "LOCATION",
            "city": "Ft Riley",
            "state": "KS",
            "postal_code": "664427069",
            "country_code": "US",
            "telephone_number": "785-240-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 SE Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052189",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-266-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061696",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 NW Fielding Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182651",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "JORDAN",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthornburg80618@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6725 SW 29th St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666145625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthornburg80618@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6725 SW 29th St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666145625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.