Individual provider Active NPI

Charles M Thurber, D.P.M.

  • Podiatrist
  • Elmira, NY
National Provider Identifier
1528074937
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003322-1 Issued in NY
Practice address
668 Park PL
Elmira, NY 14901-2033
Phone
(607) 734-4582
Fax
(607) 734-4596
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003322-1 NY Primary
Podiatrist 213E00000X SC005738 PA

Addresses

Primary practice location

668 Park PL
Elmira, NY 14901-2033

Mailing address

668 Park PL
Elmira, NY 14901-2033
Phone (607) 734-4582

Other identifiers 2

IdentifierTypeStateIssuer
00743962MedicaidNY
P010103322OtherNYBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000122 NY Practitioner - Podiatry 2961456728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003322-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thurber & Thurber, DPM PC Podiatrist CurrentSince Aug 1, 1986 Accepting new patients
Thurber & Thurber, DPM PC Podiatrist CurrentSince Aug 1, 1986 Accepting new patients

Locations

668 Park Pl
Elmira, NY 14901
Phone (607) 734-4582

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1528074937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 PARK PL",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012033",
            "telephone_number": "607-734-4582",
            "fax_number": "607-734-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 PARK PL",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012033",
            "telephone_number": "607-734-4582",
            "fax_number": "607-734-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURBER",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003322-1",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005738",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743962",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P010103322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.