Individual provider Active NPI

James E Thill, MD

  • Family Medicine Physician
  • Marinette, WI
National Provider Identifier
1831186295
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29899-020 Issued in WI
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

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080171065OtherWIRR-MEDICARE
0805500191OtherMIBCBS
32295300MedicaidWI
N41200003MedicaidMI

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
I20240520000782 WI Order and Referring Only - Family PracticePractitioner - Family Practice 2860386695

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055360MIMDFamily Medicine Physician
29899-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.