Tom Dudley Throckmorton, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18439 Issued in IA

Practice address

1823 Highway Blvd
Suite 5
Spencer, IA 51301-2226

Phone

(712) 262-6320

Fax

(712) 264-3007

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083671689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 9TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013066",
            "telephone_number": "712-262-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 HIGHWAY BLVD",
            "address_2": "SUITE 5",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012226",
            "telephone_number": "712-262-6320",
            "fax_number": "712-264-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROCKMORTON",
        "first_name": "TOM",
        "middle_name": "DUDLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "18439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153700",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Spencer, IA
• Providers in Spencer, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.