Individual provider Active NPI

Willes M Thorne, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Orem, UT
National Provider Identifier
1851514855
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
1872091205 Issued in UT
Practice address
945 S Orem Blvd
Orem, UT 84058-5011
Phone
(801) 225-5407
Fax
(801) 225-5623
NPI assigned
Apr 10, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 1872091205 UT
Cytopathology Physician 207ZC0500X 1872091205 UT
Dermatopathology (Pathology) Physician 207ZD0900X 1872091205 UT
Hematology (Pathology) Physician 207ZH0000X 1872091205 UT
Neuropathology Physician 207ZN0500X 1872091205 UT
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 1872091205 UT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 187 UT
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 1872091205 UT Primary
Pediatric Pathology Physician 207ZP0213X 1872091205 UT

Addresses

Primary practice location

945 S Orem Blvd
Orem, UT 84058-5011

Mailing address

PO Box 1442
Provo, UT 84603-1442
Phone (801) 225-5407

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

State licenses

LicenseStateTypeSpecialty
1872091205UTMDDermatopathology (Pathology) Physician
187UTMDAnatomic Pathology & Clinical Pathology Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1851514855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1442",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846031442",
            "telephone_number": "801-225-5407",
            "fax_number": "801-225-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585011",
            "telephone_number": "801-225-5407",
            "fax_number": "801-225-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "WILLES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "UT",
            "license": "1872091205",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "UT",
            "license": "1872091205",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "UT",
            "license": "1872091205",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "UT",
            "license": "1872091205",
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "UT",
            "license": "1872091205",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "UT",
            "license": "1872091205",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "187",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "UT",
            "license": "1872091205",
            "primary": true
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "UT",
            "license": "1872091205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.