Thong P Thor, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2538-23 Issued in WI

Practice address

2500 E Capitol Dr
Appleton, WI 54911

Phone

(920) 830-6788

Fax

(920) 738-4792

NPI assigned

Aug 11, 2009

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 names 1

• Thong P Thor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tthor27069@direct.thedacare.org

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.

• Thedacare Medical Center - Shawano, Inc.

  • Critical Access Hospital
  • Shawano, WI
  • NPI 1548260839
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1124250055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115794",
            "telephone_number": "920-996-3264",
            "fax_number": "920-830-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E CAPITOL DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-830-6788",
            "fax_number": "920-738-4792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Ohio St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549025825",
            "country_code": "US",
            "telephone_number": "920-267-5332",
            "fax_number": "920-267-5287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W5282 Amy Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549157233",
            "country_code": "US",
            "telephone_number": "920-358-1900",
            "fax_number": "920-358-1909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "292 Ohio St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549025825",
            "country_code": "US",
            "telephone_number": "920-267-5332",
            "fax_number": "920-267-5287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 N Richmond St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549139631",
            "country_code": "US",
            "telephone_number": "866-455-8111",
            "fax_number": "920-882-0491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOR",
        "first_name": "THONG",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2538-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THONG",
            "last_name": "THOR",
            "middle_name": "P",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Elizabeth Thompson, LPC-IT
• Paul K Thompson, O.D.
• Rachael Thompson
• Jacqueline M Thomson-Ehlers, RN, BSN, MS
• Teddy Thor
• Sharon Thorson, NP
• Tiaraed Warrior LLC
• Maggie Jo Tienor, M.S., CF-SLP
• Paige Kristine Tierney, DMD
• Leann Tilden, RN,BSN,CDE

• Physician Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.