Organization Active NPI

Earle S Thornhill, M.D.

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1407896848
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EARLE S THORNHILL, M.D.
Practice address
7760 N Lakeside Dr
Beaumont, TX 77707-3054
Phone
(409) 212-1533
Fax
(409) 212-1770
NPI assigned
Jun 7, 2006
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. Earle Stephen Thornhill, M.D.NPI 1275591455
Title
Physician
Phone
(409) 212-1533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7760 N Lakeside Dr
Beaumont, TX 77707-3054

Mailing address

7760 N Lakeside Dr
Beaumont, TX 77707-3054
Phone (409) 212-1533

Other identifiers 2

IdentifierTypeStateIssuer
DF1080OtherTXMEDICARE RAILROAD
0041PUOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000305 TX Part B Supplier - Clinic/Group Practice 6800899758 Receives reassigned benefits from 1 practitioner
Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1407896848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 N LAKESIDE DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073054",
            "telephone_number": "409-212-1533",
            "fax_number": "409-212-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 N LAKESIDE DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073054",
            "telephone_number": "409-212-1533",
            "fax_number": "409-212-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLE S THORNHILL, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "THORNHILL",
        "authorized_official_first_name": "EARLE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-212-1533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF1080",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0041PU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.