Abdul S Thannoun MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

J0308 Issued in TX

Legal business name

ABDUL S THANNOUN MD PA

Practice address

603 Quail Creek Dr SPC 300
Amarillo, TX 79124-1647

Phone

(806) 354-2400

Fax

(806) 354-8070

NPI assigned

Mar 6, 2012

Last updated

Oct 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdul S Thannoun, M.D.NPI 1962438713

Title

Owner

Phone

(806) 354-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdul Salam Thannoun, MD

  • Gastroenterology Physician
  • Amarillo, TX
  • NPI 1962438713
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1790059848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50840",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590840",
            "telephone_number": "806-354-2400",
            "fax_number": "806-354-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 QUAIL CREEK DR SPC 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241647",
            "telephone_number": "806-354-2400",
            "fax_number": "806-354-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL S THANNOUN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "THANNOUN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-354-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J0308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364174801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.