Mark T Thorne, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34481 Issued in NC

Practice address

2933 Maplewood Ave
4
Winston-Salem, NC 27103-4001

Phone

(336) 765-0155

Fax

(336) 765-5494

NPI assigned

Apr 4, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Thomas E Simpson Mdpa

  • Specialist
  • Winston Salem, NC
  • NPI 1902824329
  NPD (past)
• Triad Surgical Associates, P.a.

  • Specialist
  • Winston-Salem, NC
  • NPI 1669477105
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326000613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 ORCHARD PATH DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128222",
            "telephone_number": "336-766-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 MAPLEWOOD AVE",
            "address_2": "4",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034001",
            "telephone_number": "336-765-0155",
            "fax_number": "336-765-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "34481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8983249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Scott Thompson, MD
• William David Thompson III, PA-C, MPAS
• Debra Ann Gray Thomson, N.P.
• Boonpon Thongteum, NP
• Kalyn Thornburg
• Nyree Kimberly Thorne, MD
• April Dawn-Eaddy Thornton, MC, LPC, RPT, CCPT
• Elisabeth Ann Thornton, RN, LPC, NCC
• Heath Crumpler Thornton, MD
• Katie Thornton

• Surgery Physician in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.