Individual provider Active NPI

Robert K Thornquist, M.D.

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1821159674
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AA2198 Issued in AK
Practice address
3650 Lake Otis Pkwy
Suite 104
Anchorage, AK 99508-5207
Phone
(907) 561-3836
Fax
(907) 561-3858
NPI assigned
Dec 13, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AA2198 AK Primary

Addresses

Primary practice location

3650 Lake Otis Pkwy
Suite 104
Anchorage, AK 99508-5207

Mailing address

3650 Lake Otis Pkwy
Suite 104
Anchorage, AK 99508-5207
Phone (907) 561-3836

Other identifiers 1

IdentifierTypeStateIssuer
MD9899MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20100521000087 AK Practitioner - Family PracticePractitioner - General Practice 2062541568 Practice locations: Anchorage, AK

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3650 Lake Otis Pkwy
Suite 104
Anchorage, AK 99508-5219
Phone (907) 561-3836

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AA2198AKMDFamily Medicine Physician

Hospital & facility affiliations 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1821159674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY",
            "address_2": "SUITE 104",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085207",
            "telephone_number": "907-561-3836",
            "fax_number": "907-561-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY",
            "address_2": "SUITE 104",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085207",
            "telephone_number": "907-561-3836",
            "fax_number": "907-561-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNQUIST",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "AA2198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9899",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.