Active NPI
Craig E Thornton, M.D.
- Internal Medicine Physician
- McMinnville, OR
National Provider Identifier
1326092214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD14770
- Practice address
- 2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862 - Phone
- (503) 472-6161
- Fax
- (503) 434-6290
- NPI assigned
- May 22, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD14770 | OR | Primary |
Addresses
Primary practice location
2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862
Mailing address
2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862
Phone (503) 472-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041496 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Center, P C | Current | Accepting new patients | |
| Willamette Valley Medical Center LLC | Past | Accepting new patients |
Locations
2435 NE Cumulus Ave
Ste A
McMinnville, OR 97128
Phone (503) 472-6161
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- McMinnville, OR
- NPI 1821035841
-
- Anesthesiologist Assistant
- McMinnville, OR
- NPI 1518980457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1326092214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 NE CUMULUS AVE STE A",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288862",
"telephone_number": "503-472-6161",
"fax_number": "503-434-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 NE CUMULUS AVE STE A",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288862",
"telephone_number": "503-472-6161",
"fax_number": "503-434-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "CRAIG",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD14770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041496",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.