Individual provider Active NPI

Greg L Thorgaard, M.D.

  • Ophthalmology Physician
  • Ottumwa, IA
National Provider Identifier
1770585366
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24334 Issued in IA
Practice address
1005 Pennsylvania Ave
Suite 110
Ottumwa, IA 52501-6413
Phone
(641) 682-8571
Fax
(641) 682-8573
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24334 IA Primary

Addresses

Primary practice location

1005 Pennsylvania Ave
Suite 110
Ottumwa, IA 52501-6413

Mailing address

1005 Pennsylvania Ave
Suite 110
Ottumwa, IA 52501-6413
Phone (641) 682-8571

Other identifiers 1

IdentifierTypeStateIssuer
2274084MedicaidIA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Clinic Inc Ophthalmology CurrentSince Mar 3, 2014 Accepting new patients
Heartland Eye Care PLC Ophthalmology PastSince Jan 1, 1999 Accepting new patients

Locations

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

1005 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 682-2514

1005 Pennsylvania Ave
Ste 110
Ottumwa, IA 52501
Phone (515) 682-8571

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770585366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 110",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-682-8571",
            "fax_number": "641-682-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 110",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-682-8571",
            "fax_number": "641-682-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORGAARD",
        "first_name": "GREG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "24334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2274084",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.