NPIMap

Organization Active NPI

Steven Thornquist, MD, LLC

  • Ophthalmology Physician
  • Trumbull, CT
National Provider Identifier
1881932945
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
031010 Issued in CT
Legal business name
STEVEN THORNQUIST, MD, LLC
Practice address
2 Corporate Dr
Suite 112
Trumbull, CT 06611-1376
Phone
(203) 452-9723
Fax
(203) 452-9724
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Steven Craig Thornquist, M.D.
Title
Member/Manager
Phone
(203) 452-9723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 031010 CT Primary

Addresses

Primary practice location

2 Corporate Dr
Suite 112
Trumbull, CT 06611-1376

Mailing address

2 Corporate Dr
Suite 112
Trumbull, CT 06611-1376
Phone (203) 452-9723

Other identifiers 1

IdentifierTypeStateIssuer
001310101MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1881932945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "address_2": "SUITE 112",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-452-9723",
            "fax_number": "203-452-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "address_2": "SUITE 112",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-452-9723",
            "fax_number": "203-452-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN THORNQUIST, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "THORNQUIST",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "203-452-9723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "031010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001310101",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.