William T. Thistlethwaite M.D. PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

37101 Issued in KY

Legal business name

WILLIAM T. THISTLETHWAITE M.D. PLLC

Practice address

1012C Glenview Dr
Glasgow, KY 42141-3424

Phone

(270) 629-3331

Fax

(270) 629-3330

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Becky Russel

Title

Office Manager

Phone

(270) 629-3331

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1710196951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42142",
            "telephone_number": "270-629-3331",
            "fax_number": "270-629-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012C GLENVIEW DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413424",
            "telephone_number": "270-629-3331",
            "fax_number": "270-629-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T. THISTLETHWAITE M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "RUSSEL",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-629-3331"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "37101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000368126",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY ACCESS",
            "identifier": "000000368126",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64048085",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jim Hayes Whiteside, M.D.
• William Cook Whiteside, D.D.S
• Whitney Thompson Optometry PSC (Glasgow Family Eye Care)
• Mitchell L Wiatrak, MD
• William F Marrs
• Ashley Rae Williams, APRN
• Rhonda Sue Williams, LPCA
• Riley Glee Williams, PHARMD
• Wilson ENT PSC
• Jeffrey Lee Wilson, M.D.

• Specialist in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.