Peter Kent Thrush, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

10115 Issued in WV

Practice address

1168 Halleck Rd
Morgantown, WV 26508-2370

Phone

(304) 685-3603

Fax

(304) 296-1945

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1912962325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 HALLECK RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265082370",
            "telephone_number": "304-685-3603",
            "fax_number": "304-296-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 HALLECK RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265082370",
            "telephone_number": "304-685-3603",
            "fax_number": "304-296-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRUSH",
        "first_name": "PETER",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "10115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099093000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Thorne
• Justin Jacob Thorne, DO
• Jessica Laurel Thornton, MA, LPC, NCC, EMDR-T
• Joshua Thornton
• Kelly Alison Thornton, PHARM.D.
• Bradley Alan Thuro, M.D.
• Harshith Shivanna Thyagaturu, MBBS
• Krista Renee Tibbs, CPNP-PC
• Adreona Elizabeth Tichenor, SLP
• Courtney Lyn Tiger, RN

• Orthopaedic Surgery Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Orthopaedic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.

Verify at the official NPI Registry.