Individual provider Active NPI

Martha F Thornton, D.P.M.

  • Podiatrist
  • Aledo, IL
National Provider Identifier
1942219639
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016 004172 Issued in IL
Practice address
1007 NW 3Rd St
Aledo, IL 61231-1317
Phone
(309) 582-9440
Fax
(309) 582-9449
NPI assigned
Aug 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016 004172 IL Primary

Addresses

Primary practice location

1007 NW 3Rd St
Aledo, IL 61231-1317

Mailing address

1007 NW 3Rd St
Aledo, IL 61231-1317
Phone (309) 582-9440

Other identifiers 3

IdentifierTypeStateIssuer
129OtherSDPODIATRY LIC. NUMBER
016-004172OtherILPODIATRY LIC. IL
205OtherNEPODIATRY LIC NE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address martha.thornton@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20061019000413 IL Practitioner - Podiatry 4981600608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

409 NW 9TH Ave
Suite 100
Aledo, IL 61231-1258
Phone (309) 738-4407

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue439
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016 004172ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Center, Aledo CurrentSince Feb 1, 2013 Accepting new patients
Genesis Medical Center, Aledo Current Accepting new patients
Genesis Health System CurrentSince Nov 24, 2020 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Feb 1, 2013 Accepting new patients
Great Plains Podiatry Clinic LTD CurrentSince Mar 1, 2024 Accepting new patients
Aggeus Healthcare, P.C. Podiatrist Past Accepting new patients
Advanced Foot & Ankle PC PastSince Mar 1, 1995 Accepting new patients
Asg Onsite Podiatry of Ia 1 PC Podiatrist Past Accepting new patients
Genesis Medical Center, Aledo Podiatrist Past Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

1007 NW 3rd St
Ste 100
Aledo, IL 61231
Phone (309) 582-3701

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

409 NW 9th Ave
Ste 100
Aledo, IL 61231
Phone (309) 582-9440

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942219639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NW 3RD ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311317",
            "telephone_number": "309-582-9440",
            "fax_number": "309-582-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NW 3RD ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311317",
            "telephone_number": "309-582-9440",
            "fax_number": "309-582-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "MARTHA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016 004172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LIC. NUMBER",
            "identifier": "129",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LIC. IL",
            "identifier": "016-004172",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LIC NE",
            "identifier": "205",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martha.thornton@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1007 NW 3rd St",
            "city": "Aledo",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612311317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aledo, IL

Sources for this page

Verify at the official NPI Registry.