Active NPI
Charles Neal Thornton, M.D.
- Ophthalmology Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G7728
- Practice address
- 5402 Summerhill Rd
Texarkana, TX 75503-4607 - Phone
- (903) 614-3937
- Fax
- (903) 614-3525
- NPI assigned
- Jul 7, 2005
- Reactivated
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G7728 | TX | Primary |
Addresses
Primary practice location
5402 Summerhill Rd
Texarkana, TX 75503-4607
Mailing address
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89553 | Other | AR | AR BLUE CROSS |
| 81380Y | Other | TX | TEXAS BLUE CROSS |
| 109971001 | Medicaid | AR |
Other names 1
- Mr. Charles Neal Thornton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Arkansas College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5402 Summerhill Rd
Texarkana, TX 75503-4607
Phone (903) 798-3937
Hospital & facility affiliations
- Christus St Michael Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collom and Carney Clinic Association | Ophthalmology | Current | Accepting new patients |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Texarkana Gastroenterology Consultants, PA | Past | Accepting new patients | |
| Collom and Carney Clinic Association | Past | Accepting new patients | |
| Collom and Carney Clinic Association | Past | Accepting new patients |
Locations
1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365
5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008
2931 Richmond Rd
Texarkana, TX 75503
Phone (903) 614-3200
5402 Summerhill Rd
Texarkana, TX 75503
Phone (903) 614-3937
Interoperability endpoints
- charles.thornton.p1@direct.collom-carney.nextgenshare.com
- https://ab0ad0d3-1a1d-47a7-80b0-c0bd276b844e.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 9
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.
-
- Hematology & Oncology Physician
- Texarkana, TX
- NPI 1114909934
-
- Cardiovascular Disease Physician
- Texarkana, TX
- NPI 1013252279
-
- Clinical Medical Laboratory
- Texarkana, TX
- NPI 1164405296
-
- Nephrology Physician
- Texarkana, TX
- NPI 1265414635
-
- Pain Medicine (Anesthesiology) Physician
- Texarkana, TX
- NPI 1962829747
-
- Ophthalmology Physician
- Texarkana, TX
- NPI 1255313086
-
- Neurology Physician
- Texarkana, TX
- NPI 1215918693
-
- Clinic/Center
- Texarkana, TX
- NPI 1871575514
-
- Specialist
- Texarkana, TX
- NPI 1477519056
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1245237171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 COWHORN CREEK RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755039766",
"telephone_number": "903-614-3000",
"fax_number": "903-614-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 SUMMERHILL RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034607",
"telephone_number": "903-614-3937",
"fax_number": "903-614-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "CHARLES",
"middle_name": "NEAL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-12-02",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "G7728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUE CROSS",
"identifier": "89553",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BLUE CROSS",
"identifier": "81380Y",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109971001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLES",
"last_name": "THORNTON",
"middle_name": "NEAL",
"prefix": "MR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.