Thunder Medical, P.C.

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

THUNDER MEDICAL, P.C.

Practice address

3984 Youngfield St
Wheat Ridge, CO 80033-3865

Phone

(303) 278-0392

Fax

(303) 278-0612

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

John Albert Odom III

Title

President

Phone

(303) 278-0392

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Nicole Robertson, CMIN

  • Electroneurodiagnostic Specialist/Technologist
  • Wheat Ridge, CO
  • NPI 1699125443
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1144763897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3984 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333865",
            "telephone_number": "303-278-0392",
            "fax_number": "303-278-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3984 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333865",
            "telephone_number": "303-278-0392",
            "fax_number": "303-278-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-278-0392",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Danielle Thompson
• Patricia Irene Thompson, M.A., LAC
• Megan Thornberry
• Emily Ann Thorne, LCSW, LAC
• Caroline Teresa Thramann, MD
• Baillie Tichy
• Tiffany Manzo Jenkins
• Patrick Thomas Tiffany, MD
• Matthew Tilton
• Philippe A. Tirman, M.D.

• Electrodiagnostic Medicine Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Electrodiagnostic Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.