Active NPI
David B Thrower, DO
- Family Medicine Physician
- Portage, MI
National Provider Identifier
1689637308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101008225
- Practice address
- 576 Romence Rd
Suite 124
Portage, MI 49024-3472 - Phone
- (269) 329-7575
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101008225 | MI | Primary |
Addresses
Primary practice location
576 Romence Rd
Suite 124
Portage, MI 49024-3472
Mailing address
576 Romence Rd
Suite 124
Portage, MI 49024-3472
Phone (269) 329-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051018000901 | MI | Practitioner - Family Practice | 6204852304 | Practice locations: Portage, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1689637308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 ROMENCE RD",
"address_2": "SUITE 124",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243472",
"telephone_number": "269-329-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 ROMENCE RD",
"address_2": "SUITE 124",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243472",
"telephone_number": "269-329-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THROWER",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101008225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.