Individual provider Active NPI

Jonathon M Thorp, M.D.

  • Internal Medicine Physician
  • Tamuning, GU
National Provider Identifier
1720344732
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-2218 Issued in GU
Practice address
388 Ypao Rd
Tamuning, GU 96913-3701
Phone
(671) 646-8881
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M84011 MD
Internal Medicine Physician 207R00000X MD176634 OR
Hospitalist Physician 208M00000X M-2218 GU
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X M-2218 GU Primary

Addresses

Primary practice location

388 Ypao Rd
Tamuning, GU 96913-3701

Mailing address

17131 SE Royer Rd
Damascus, OR 97089-8746
Phone (671) 487-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160927000426 OR Practitioner - Internal Medicine 4981853736 Reassigns benefits to 2 organizations
I20200819002692 GU Practitioner - Internal Medicine 4981853736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians
General Conference Corp of SdaGroup PAC ID 6608777628, 52 clinicians

Practice addresses (Care Compare)

10151 SE Sunnyside Rd
Suite 100
Clackamas, OR 97015-5705
Phone (503) 659-0880

388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881

Hospital & facility affiliations

  • Health Services of the Pacific - Home Care Home health agency, Barrigada, GU, CCN 657004
  • FHP Home Health Home health agency, Tamuning, GU, CCN 657005
  • Guam Visiting Nurses Home health agency, Tamuning, GU, CCN 657006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M84011MDMDInternal Medicine Physician
MD176634ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Sep 19, 2016 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Aug 17, 2021 Accepting new patients
General Conference Corp of Sda Current Accepting new patients
Portland Adventist Medical Center Internal Medicine CurrentSince Sep 19, 2016 Accepting new patients
Portland Adventist Medical Center Internal Medicine CurrentSince Jul 30, 2023 Accepting new patients
General Conference Corp of Sda CurrentSince Aug 1, 2020 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71732
  • Direct secure messaging: jonathon.thorp@adventistclinic.directbygreenway.com
  • Direct secure messaging: jthorp154860@direct.ohsu.edu
  • Direct secure messaging: jonathon.thorp.1@31775.direct.athenahealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1720344732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17131 SE ROYER RD",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970898746",
            "telephone_number": "671-487-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701",
            "telephone_number": "671-646-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORP",
        "first_name": "JONATHON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "M84011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD176634",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GU",
            "license": "M-2218",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M-2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.