Individual provider Active NPI

John Stephen Thurlow, M.D.

  • Nephrology Physician
  • Bethesda, MD
National Provider Identifier
1740441237
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
53790-20 Issued in WI
Practice address
4494 N Palmer Rd
Bethesda, MD 20889-4501
Phone
(301) 295-4331
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 53790-20 WI Primary

Addresses

Primary practice location

4494 N Palmer Rd
Bethesda, MD 20889-4501

Mailing address

1983 Oakwell Farms Pkwy Apt 2502
San Antonio, TX 78218-1768
Phone (210) 888-1560

Other practice location 1

3851 Roger Brooke Dr # Drive-Qd
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2460

Other practice location 2

670 Cormier Rd
Green Bay, WI 54304-4824
Phone (920) 496-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20210216003243 WI Practitioner - Nephrology 3375958739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Nephrology Partners S CGroup PAC ID 3870559404, 12 clinicians

Practice addresses (Care Compare)

300 N Commercial St
Suite 200
Neenah, WI 54956-2619
Phone (920) 886-0818

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300

670 Cormier Rd
Green Bay, WI 54304-4824
Phone (920) 494-9685

Hospital & facility affiliations

  • Fresenius Kidney Care Lombardi Dialysis facility, Green Bay, WI, CCN 522622
  • Fresenius Kidney Care Green Bay Dialysis facility, De Pere, WI, CCN 522627
  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097
  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53790-20WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Feb 1, 2021 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Feb 1, 2021 Accepting new patients
St. Clare Memorial Hospital, Inc CurrentSince Feb 25, 2022 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Feb 25, 2022 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Feb 1, 2021 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Feb 1, 2021 Accepting new patients
Fox Valley Nephrology Partners S C CurrentSince Mar 1, 2021 Accepting new patients
Thedacare Medical Center - Shawano, Inc. PastSince Mar 1, 2021 Accepting new patients

Locations

670 Cormier Rd
Green Bay, WI 54304
Phone (920) 494-9685

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

300 N Commercial St
#200
Neenah, WI 54956
Phone (920) 886-0818

855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: jthurlow300695@direct.thedacare.org

Organizations & group practices 9

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1740441237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 OAKWELL FARMS PKWY APT 2502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181768",
            "telephone_number": "210-888-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 N PALMER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208894501",
            "telephone_number": "301-295-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr # Drive-Qd",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 Cormier Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543044824",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURLOW",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "53790-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.