Active NPI
Alison Jean Thresher, M.D.
- Gynecology Physician
- Celina, OH
National Provider Identifier
1669574554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 35079289
- Practice address
- 950 S Main St
Suite #7
Celina, OH 45822-2479 - Phone
- (419) 586-5170
- Fax
- (419) 586-5177
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3579289 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | MD61478175 | WA | |
| Gynecology Physician | 207VG0400X | 35079289 | OH | Primary |
Addresses
Primary practice location
950 S Main St
Suite #7
Celina, OH 45822-2479
Mailing address
1485 Corona LN
Vero Beach, FL 32963-2508
Phone (419) 586-5170
Other practice location 1
4465 Cordata Pkwy Ste 102
Bellingham, WA 98226-8037
Phone (360) 752-5280
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2246028 | Medicaid | OH | |
| 000000213061 | Other | OH | BLUE CROSS BLUE SHIELD |
| 000000213061 | Other | OH | UNICARE |
| P00272253 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230927000015 | WA | Practitioner - Obstetrics/Gynecology | 4981893617 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3579289 | OH | MD | Specialist |
| 35079289 | OH | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Clinic/Center
- Heart Butte, MT
- NPI 1598867848
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1669574554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 CORONA LN",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632508",
"telephone_number": "419-586-5170",
"fax_number": "419-586-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S MAIN ST",
"address_2": "SUITE #7",
"city": "CELINA",
"state": "OH",
"postal_code": "458222479",
"telephone_number": "419-586-5170",
"fax_number": "419-586-5177"
}
],
"practiceLocations": [
{
"address_1": "4465 Cordata Pkwy Ste 102",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982268037",
"country_code": "US",
"telephone_number": "360-752-5280",
"fax_number": "360-752-5282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THRESHER",
"first_name": "ALISON",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "3579289",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD61478175",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "35079289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2246028",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000213061",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000213061",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00272253",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Celina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.