Thrive Lagerkvist Medical Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01059613A Issued in IN

Legal business name

THRIVE LAGERKVIST MEDICAL SERVICES, LLC

Practice address

1105 N Western Ave
Marion, IN 46952-2501

Phone

(765) 613-0111

Fax

(765) 662-8502

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Dawn Lagerkvist, M.D.

Title

Physician/Owner

Phone

(765) 613-0111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey S Fuller, NP

  • Nurse Practitioner
  • Marion, IN
  • NPI 1871731935
  NPD (past)
• Pacia A Perry, FNP

  • Family Nurse Practitioner
  • Wabash, IN
  • NPI 1760753487
  NPD (past)
• Hope Lynn Stein Spitzer, FNP

  • Family Nurse Practitioner
  • Marion, IN
  • NPI 1164782645
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1346533783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522501",
            "telephone_number": "765-613-0111",
            "fax_number": "765-662-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522501",
            "telephone_number": "765-613-0111",
            "fax_number": "765-662-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE LAGERKVIST MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "LAGERKVIST",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "765-613-0111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059613A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201035320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Michael Thompson, PHARMD
• Jessica Thompson, CCC-SLP
• Robert Thompson
• Sarah Ann Thompson, LCSW
• Shanel G Thompson, PHARMD, RPH
• Zoie Renea Thurston
• Abigail Lynn Tignor
• Allison Elaine Tignor, LMHCA
• Jennifer Elaine Tignor
• Jessica Tillman

• Family Medicine Physician in Marion, IN
• Providers in Marion, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.