Active NPI
James E Thill, MD
- Family Medicine Physician
- Marinette, WI
National Provider Identifier
1831186295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29899-020
- Practice address
- N2359 Schacht Rd
Thousand Hills Healthcare, LLC
Marinette, WI 54143-9735 - Phone
- (715) 582-2940
- Fax
- (715) 582-2940
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29899-020 | WI | Primary |
| Family Medicine Physician | 207Q00000X | 4301055360 | MI |
Addresses
Primary practice location
N2359 Schacht Rd
Thousand Hills Healthcare, LLC
Marinette, WI 54143-9735
Mailing address
N2359 Schacht Rd
Thousand Hills Healthcare, LLC
Marinette, WI 54143-9735
Phone (715) 582-2940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080171065 | Other | WI | RR-MEDICARE |
| 0805500191 | Other | MI | BCBS |
| 32295300 | Medicaid | WI | |
| N41200003 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520000782 | WI | Order and Referring Only - Family Practice | 2860386695 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301055360 | MI | MD | Family Medicine Physician |
| 29899-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northreach Healthcare, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Daggett, MI
- NPI 1033261623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1831186295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2359 SCHACHT RD",
"address_2": "THOUSAND HILLS HEALTHCARE, LLC",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541439735",
"telephone_number": "715-582-2940",
"fax_number": "715-582-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N2359 SCHACHT RD",
"address_2": "THOUSAND HILLS HEALTHCARE, LLC",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541439735",
"telephone_number": "715-582-2940",
"fax_number": "715-582-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THILL",
"first_name": "JAMES",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "29899-020",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301055360",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR-MEDICARE",
"identifier": "080171065",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0805500191",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32295300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N41200003",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.