Individual provider Active NPI

Mark Lee Thornton, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1669552790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F7234 Issued in TX
Practice address
7720 Jones Maltsberger Rd
Ste. # 110
San Antonio, TX 78216-6946
Phone
(210) 822-2004
Fax
(210) 822-2215
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F7234 TX Primary

Addresses

Primary practice location

7720 Jones Maltsberger Rd
Ste. # 110
San Antonio, TX 78216-6946

Mailing address

7720 Jones Maltsberger Rd
Ste. # 110
San Antonio, TX 78216-6946
Phone (210) 822-2004

Other identifiers 1

IdentifierTypeStateIssuer
F7234OtherTXMEDICAL LICENSE

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
I20160224002265 TX Practitioner - Internal Medicine 3476539503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Execudoc, IncGroup PAC ID 6305822438, 2 clinicians

Practice addresses (Care Compare)

7720 Jones Maltsberger Rd
Suite 110
San Antonio, TX 78216-6986
Phone (210) 822-2004

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Execudoc, Inc Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7720 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78216
Phone (210) 822-2004

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.

Hospital & facility affiliations 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669552790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 JONES MALTSBERGER RD",
            "address_2": "STE. # 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166946",
            "telephone_number": "210-822-2004",
            "fax_number": "210-822-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 JONES MALTSBERGER RD",
            "address_2": "STE. # 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166946",
            "telephone_number": "210-822-2004",
            "fax_number": "210-822-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "MARK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F7234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "F7234",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.