Jonathan Cedric Thornton, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

50125 Issued in FL

Practice address

6499 38TH Ave N
Suite B-2
St Petersburg, FL 33710-1656

Phone

(727) 347-6635

Fax

(727) 343-0913

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Suncoast Skin Solutions

  • Dermatology Physician
  • Lutz, FL
  • NPI 1487827416
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104928282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6499 38TH AVE N",
            "address_2": "SUITE B-2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101656",
            "telephone_number": "727-347-6635",
            "fax_number": "727-343-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 38TH AVE N",
            "address_2": "SUITE B-2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101656",
            "telephone_number": "727-347-6635",
            "fax_number": "727-343-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "JONATHAN",
        "middle_name": "CEDRIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "50125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Austin Thompson, MD
• Sharon Elizabeth Thompson, LPC
• Rachhanil Thong
• Ashleigh Green Thornton
• Danielle Thornton, LCSW
• Anthony Scott Thorpe, D.C., D.A.C.B.R.
• Chloe Thorpe, MS
• Lorraine B Thorpe, D.C.
• Signe Laura Peltier Thorpe, MD
• Spencer Thorpe, LCSW

• Dermatology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.