William Robert Thurlby, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C-4419 Issued in AR

Practice address

8970 Market St
Dover, AR 72837-9110

Phone

(479) 331-3880

Fax

(479) 331-3788

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• St Marys Physician Services LLC

  • Rural Health Clinic/Center
  • Dover, AR
  • NPI 1225920515
  NPD (past)
• St Marys Physician Services LLC

  • Rural Health Clinic/Center
  • Russellville, AR
  • NPI 1396637682
  NPD (past)
• St Marys Physician Services LLC

  • Rural Health Clinic/Center
  • Russellville, AR
  • NPI 1750273041
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1962468629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 MARKET ST",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728379110",
            "telephone_number": "479-331-3880",
            "fax_number": "479-331-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 MARKET ST",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728379110",
            "telephone_number": "479-331-3880",
            "fax_number": "479-331-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURLBY",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C-4419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103883001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Renee Sain
• Sara Shrum, COTA/L
• St Marys Physician Services LLC
• Superintendent of Dover Public Schools
• Jennifer Leigh Tackett, PHARM.D.
• Angela Titsworth
• Trilogy Physical Therapy, LLC
• Trilogy Therapy Services, Inc
• White Oak RCS
• Phillip Wyatt, RPT

• All providers in Dover, AR
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.