NPIMap

Organization Active NPI

Thurber & Thurber, DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Horseheads, NY
National Provider Identifier
1457426355
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N003322-1 Issued in NY
Legal business name
THURBER & THURBER, DPM PC
Practice address
3345 Chambers Rd
Suite 4
Horseheads, NY 14845-1401
Phone
(607) 739-8318
Fax
(607) 739-1269
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Dr. Daniel S Park, DPMNPI 1851314488
Title
Podiatrist
Phone
(607) 734-4582

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N003322-1 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X N003995-1 NY
Durable Medical Equipment & Medical Supplies 332B00000X N005567-1 NY

Addresses

Primary practice location

3345 Chambers Rd
Suite 4
Horseheads, NY 14845-1401

Mailing address

3345 Chambers Rd
Suite 4
Horseheads, NY 14845-1401
Phone (607) 739-8318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131211001194 NY DME Supplier - Physician - Podiatry 4880648633 Practice locations: Horseheads, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Thurber Thurber DPM4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Madison Ave
Ste 2A
Elmira, NY 14901
Phone (607) 734-4583

200 Madison Ave
Elmira, NY 14901
Phone (607) 734-1581

3345 Chambers Rd
Ste 4
Horseheads, NY 14845
Phone (607) 739-8318

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1457426355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 CHAMBERS RD",
            "address_2": "SUITE 4",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451401",
            "telephone_number": "607-739-8318",
            "fax_number": "607-739-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 CHAMBERS RD",
            "address_2": "SUITE 4",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451401",
            "telephone_number": "607-739-8318",
            "fax_number": "607-739-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURBER & THURBER, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "607-734-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N003322-1",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N003995-1",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N005567-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.