Individual provider Active NPI

John Michael Thurston, M.D.

  • Psychiatry Physician
  • Coeur D Alene, ID
National Provider Identifier
1144664848
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M15152 Issued in ID
Practice address
250 Northwest Blvd Ste 200
Coeur D Alene, ID 83814-2973
Phone
(208) 225-8642
Fax
(208) 795-8079
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M15152 ID Primary

Addresses

Primary practice location

250 Northwest Blvd Ste 200
Coeur D Alene, ID 83814-2973

Mailing address

250 Northwest Blvd Ste 200
Coeur D Alene, ID 83814-2973
Phone (208) 215-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811003185 ID Practitioner - Psychiatry 4082916309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Northwest Blvd
Suite 200
Coeur D Alene, ID 83814-2973
Phone (208) 215-1568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M15152IDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. Current Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Tmhcare, PC Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Kootenai Health, Inc. Psychiatry CurrentSince Aug 1, 2020 Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

250 Northwest Blvd
Ste 200
Coeur D Alene, ID 83814
Phone (208) 215-1568

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

Interoperability endpoints

  • Direct secure messaging: johnthurston@tdh.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1144664848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142973",
            "telephone_number": "208-215-1568",
            "fax_number": "208-625-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142973",
            "telephone_number": "208-225-8642",
            "fax_number": "208-795-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M15152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.