Individual provider Active NPI

Robert Dean Thurston Jr.

  • Internal Medicine Physician
  • East Liverpool, OH
National Provider Identifier
1437507951
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S3759 Issued in TX
Practice address
425 W 5TH St
East Liverpool, OH 43920-2405
Phone
(330) 385-7200
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X S3759 TX Primary

Addresses

Primary practice location

425 W 5TH St
East Liverpool, OH 43920-2405

Mailing address

425 W 5TH St
East Liverpool, OH 43920-2405

Other practice location 1

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (972) 449-0540

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203001915 TX Practitioner - Internal Medicine 7012340185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Jun 21, 2024 Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Access Telecare California, P.C. Internal Medicine PastSince Sep 18, 2023 Accepting new patients
Christus Hopkins Health Alliance Past Accepting new patients

Locations

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3961

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1437507951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "330-385-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.