Individual provider Active NPI

Debra L. Thornton, D.P.M.

  • Podiatrist
  • North Olmsted, OH
National Provider Identifier
1891874756
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2390 Issued in OH
Practice address
23823 Lorain Rd
Suite 280
North Olmsted, OH 44070-2254
Phone
(440) 734-5662
Fax
(440) 734-0989
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2390 OH
Podiatrist 213E00000X 2390 OH Primary

Addresses

Primary practice location

23823 Lorain Rd
Suite 280
North Olmsted, OH 44070-2254

Mailing address

23823 Lorain Rd
Suite 280
North Olmsted, OH 44070-2254
Phone (440) 734-5662

Other identifiers 3

IdentifierTypeStateIssuer
3416115780A13OtherOHBLUE CROSS/BLUE SHIELD
395959503OtherOHMEDICAL MUTUAL OF OHIO
TH06211961MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100310000103 OH Practitioner - Podiatry 1951446301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

23823 Lorain Rd
North Olmsted, OH 44070-2254
Phone (440) 734-5662

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue135
Removal of skin lesions105
Removal of nail tissue798
Removal or shaving of skin growth214
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2390OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meridia Medical Group, LLC Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Northcoast Foot and Ankle Associates, Inc. Podiatrist CurrentSince Jun 30, 1988 Accepting new patients

Locations

5595 Transportation Blvd
Ste 220
Garfield Hts, OH 44125
Phone (216) 261-7970

23823 Lorain Rd
Ste 280
North Olmsted, OH 44070
Phone (216) 734-5662

Interoperability endpoints

  • Direct secure messaging: dthornton4935@direct.ccf.org

Organizations & group practices 4

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.

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1891874756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 LORAIN RD",
            "address_2": "SUITE 280",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702254",
            "telephone_number": "440-734-5662",
            "fax_number": "440-734-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 LORAIN RD",
            "address_2": "SUITE 280",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702254",
            "telephone_number": "440-734-5662",
            "fax_number": "440-734-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "2390",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "3416115780A13",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "395959503",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH06211961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.