Individual provider Active NPI

Ryan Kristopher Thorne, CRNA

  • Certified Registered Nurse Anesthetist
  • Saginaw, MI
National Provider Identifier
1083084453
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704284805 Issued in MI
Practice address
1447 N Harrison
Saginaw, MI 48602-5383
Phone
(989) 583-6237
NPI assigned
Sep 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704284805 MI Primary

Addresses

Primary practice location

1447 N Harrison
Saginaw, MI 48602-5383

Mailing address

1447 N Harrison
Saginaw, MI 48602-5383
Phone (989) 583-6237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151103000782 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264742238 Reassigns benefits to 3 organizations
I20220519000218 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264742238 Reassigns benefits to 1 organization
I20240402001668 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264742238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wayne State University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

1721 Magnavox Way
Fort Wayne, IN 46804-1537
Phone (317) 450-5441

433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2015 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2022 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2019 Accepting new patients
Community Health Center of Branch County CurrentSince Oct 1, 2022 Accepting new patients
Community Health Center of Branch County CurrentSince Oct 1, 2022 Accepting new patients
Covenant Medical Center, Inc CurrentSince Oct 3, 2015 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Lake George Surgery Center, LLC PastSince May 1, 2022 Accepting new patients

Locations

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1 Stiles Rd
Ste 301
Salem, NH 03079

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 10

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1083084453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025383",
            "telephone_number": "989-583-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025383",
            "telephone_number": "989-583-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "RYAN",
        "middle_name": "KRISTOPHER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704284805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.