Liberty Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2008003316 Issued in MO

Legal business name

LIBERTY NEUROLOGY, LLC

Practice address

2521 Glenn Hendren Dr
Suite 202
Liberty, MO 64068-3388

Phone

(816) 401-2693

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Wayne Thornton, M.D.

Title

Owner

Phone

(816) 401-2693

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1083884183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 202",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-401-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 202",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-401-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-401-2693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2008003316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Hospital Emergency Medicine Physicians, LLC
• Liberty Hospital Physician Clinics
• Liberty Medical Center PC
• Liberty Medical Center, PC
• Liberty Medicine Specialists, Inc.
• Liberty Orthopedic Associates, P.C.
• Liberty Orthopedic Associates, P.C.
• Liberty Park Chiropractic, LLC
• Liberty Park Dental
• Liberty Psychological Services, L.L.C.

• Neurology Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.