Ted Thornton, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14747 Issued in WV

Practice address

1418 Maccorkle Ave SW Ste a
Charleston, WV 25303-1331

Phone

(304) 348-1419

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1194739938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH MEADOW DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119734",
            "telephone_number": "304-343-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MACCORKLE AVE SW STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031331",
            "telephone_number": "304-348-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "TED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "14747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012081",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041288000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharina Magdalena Thornton, LPN
• Kelsey Christine Thornton, APRN
• Melissa Thornton
• Paula Thornton
• Stephanne Cline Thornton, MAC, LCSW, LICSW
• Jan Thrash-Davidson
• Thrush & Clark Allergists PLLC
• Lawrence Blair Thrush Jr., MD
• Nicole Tibbs
• Amy E. Tickle, MD

• Psychiatry Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.