Thomas C. Thornberry, M.D., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29071 Issued in KY

Legal business name

THOMAS C. THORNBERRY, M.D., LLC

Practice address

260 Evans Ave
Mt Sterling, KY 40353-9700

Phone

(859) 498-7345

Fax

(859) 498-3780

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Thomas C Thornberry, MD

Title

Owner

Phone

(859) 498-7345

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1699963322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 EVANS AVE",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539700",
            "telephone_number": "859-498-7345",
            "fax_number": "859-498-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 EVANS AVE",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539700",
            "telephone_number": "859-498-7345",
            "fax_number": "859-498-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. THORNBERRY, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "THORNBERRY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-498-7345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29071",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "29071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.