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

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, DO

Title

Physician/Owner

Phone

(806) 884-9943

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155206901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.