Individual provider Active NPI

Ian H Thorneycroft, MD

  • Gynecology Physician
  • Mobile, AL
National Provider Identifier
1154378495
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
15135 Issued in AL
Practice address
21 Hillwood Rd
Mobile, AL 36608-2311
Phone
(516) 484-3222
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 15135 AL Primary
General Practice Physician 208D00000X 15135 AL

Addresses

Primary practice location

21 Hillwood Rd
Mobile, AL 36608-2311

Mailing address

21 Hillwood Rd
Mobile, AL 36608-2311
Phone (516) 484-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110310000086 AL Practitioner - Obstetrics/Gynecology 0941212252 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Aug 15, 2018 Accepting new patients
Signify Health, LLC General Practice CurrentSince Sep 13, 2022 Accepting new patients
American Family Care, LLC General Practice CurrentSince Aug 15, 2018 Accepting new patients
American Family Care, LLC General Practice Current Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

900 Montlimar Dr
Mobile, AL 36609
Phone (251) 343-5263

25775 Perdido Beach Blvd
Ste E5
Orange Beach, AL 36561
Phone (251) 974-3004

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1154378495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HILLWOOD RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082311",
            "telephone_number": "516-484-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HILLWOOD RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082311",
            "telephone_number": "516-484-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNEYCROFT",
        "first_name": "IAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "15135",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "15135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.