Active NPI
Tammy L Thore, MD
- Surgery Physician
- Jefferson, NC
National Provider Identifier
1710973516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35534
- Practice address
- 525 Luther Rd
Jefferson, NC 28640 - Phone
- (336) 846-3315
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35534 | NC | Primary |
Addresses
Primary practice location
525 Luther Rd
Jefferson, NC 28640
Mailing address
200 Hospital Ave Ste 5
Jefferson, NC 28640-9244
Phone (336) 246-7779
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7983237 | Medicaid | NC | |
| 43058 | Other | NC | MEDCOST |
| 83237 | Other | NC | BCBS NC |
| 11982 | Other | NC | PARTNERS |
| 010345359 | Medicaid | VA | |
| 770000140 | Other | NC | RAILROAD MEDICARE |
| 891046L | Medicaid | NC | |
| 5277206002 | Other | NC | CIGNA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35534 | NC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1710973516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE STE 5",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244",
"telephone_number": "336-246-7779",
"fax_number": "336-846-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 LUTHER RD",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "28640",
"telephone_number": "336-846-3315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORE",
"first_name": "TAMMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2021-09-01",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "35534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7983237",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "43058",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "83237",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "11982",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010345359",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "770000140",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891046L",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "5277206002",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.