David W Thetford DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5585 Issued in TX

Legal business name

DAVID W THETFORD DO PA

Practice address

275 Casino Dr
Amarillo, TX 79118-3816

Phone

(806) 884-9943

NPI assigned

Mar 3, 2008

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David W Thetford, DONPI 1033202809

Title

Physician/Owner

Phone

(806) 884-9943

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Thetford, D.O.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1033202809
  Authorized official Same address or phone

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1144490442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CASINO DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791183816",
            "telephone_number": "806-884-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CASINO DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791183816",
            "telephone_number": "806-884-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W THETFORD DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "THETFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "806-884-9943",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Tyson MHT LLC
• John Lewis David Jr., M.D.
• Lindsey E Davidson, AGACNP-BC
• Mark Douglas Davidson, HIS
• Aletta Renee Davis-Pitre, PT
• Allison Davis

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.