Robert R Thoreson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G3853 Issued in TX

Practice address

11410 Jollyville Road
Ste 3101
Austin, TX 78759-2424

Phone

(512) 346-3637

Fax

(512) 346-3953

NPI assigned

Nov 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1720151327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 JOLLYVILLE ROAD",
            "address_2": "STE 3101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592424",
            "telephone_number": "512-346-3637",
            "fax_number": "512-346-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 JOLLYVILLE ROAD",
            "address_2": "STE 3101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592424",
            "telephone_number": "512-346-3637",
            "fax_number": "512-346-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESON",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JX61",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William King Thomson, D.D.S.
• John Joseph Thoppil, MD
• Nimmi Teresa Thoppil, M.D.
• Bethany Thoresen
• Lynn Marie Thoreson, DO
• Karla Thornburg, LMSW
• Theresa Caroline Thornhill
• Donna Thornton, RBT
• Jordan Tijerina Thornton
• Lindsey Marie Thornton, M.S. CCC-SLP

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.