Michael W Thornton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036067168 Issued in IL

Practice address

954 West State Street
Sycamore, IL 60118

Phone

(815) 895-9144

Fax

(815) 899-4234

NPI assigned

Jun 29, 2006

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie Health Care, LTD

  dba Kishwaukee Medical Associates

  • Family Medicine Physician
  • Sycamore, IL
  • NPI 1871718551
  Medicare reassignment NPD
• Prairie Healthcare, LTD

  dba Sandwich Family Practice

  • Family Medicine Physician
  • Sandwich, IL
  • NPI 1497878086
  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1699703405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 WEST STATE STREET",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "815-895-9144",
            "fax_number": "815-899-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 WEST STATE STREET",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "815-895-9144",
            "fax_number": "815-899-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067168",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsklar121387@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "954 West State Street",
            "city": "Sycamore",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Teson, APRN
• Dhaval N Thakkar, M.D.
• The Kishwaukee Family Young Men's Christian Association, Inc.
• The Midland Surgical Center LLC
• Thompson Therapeutics & Mediation, PLLC
• Three Birds Mental Health Services PLLC
• Lorri Thrower
• Megan Thurwanger, APRN, CNP
• Gregory Tierney, PHD
• Kristin Tilton, RN, BSN, MPH

• Family Medicine Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.

Verify at the official NPI Registry.