Active NPI
Terri Thorn, PA-C
- Surgical Physician Assistant
- Frisco, CO
National Provider Identifier
1962408898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1637
- Practice address
- 0018 County Road 1030
Suite 125
Frisco, CO 80443 - Phone
- (970) 668-3633
- Fax
- (970) 668-5052
- NPI assigned
- Jun 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1637 | CO | Primary |
Addresses
Primary practice location
0018 County Road 1030
Suite 125
Frisco, CO 80443
Mailing address
PO Box 1303
Frisco, CO 80443-1303
Phone (970) 668-3633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96874279 | Medicaid | CO |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1637 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962408898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1303",
"city": "FRISCO",
"state": "CO",
"postal_code": "804431303",
"telephone_number": "970-668-3633",
"fax_number": "970-668-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0018 COUNTY ROAD 1030",
"address_2": "SUITE 125",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "970-668-3633",
"fax_number": "970-668-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "TERRI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "1637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96874279",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.