Active NPI
N Thannoli PSC
- Cardiovascular Disease Physician
- Somerset, KY
National Provider Identifier
1962579136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- N THANNOLI PSC
- Practice address
- 55 Thannoli Dr
Somerset, KY 42503 - Phone
- (606) 677-0854
- Fax
- (606) 677-9311
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Natarajan Thannoli, MD
- Title
- President Owner
- Phone
- (606) 677-0854
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
55 Thannoli Dr
Somerset, KY 42503
Mailing address
55 Thannoli Dr
Somerset, KY 42503
Phone (606) 677-0854
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF2752 | Other | KY | RAILROAD MEDICARE GROUP |
| 65946147 | Other | MEDICAID GROUP # | |
| 000000061076 | Other | KY | BCBC GROUP # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339372800000",
"number": "1962579136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 THANNOLI DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42503",
"telephone_number": "606-677-0854",
"fax_number": "606-677-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 THANNOLI DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42503",
"telephone_number": "606-677-0854",
"fax_number": "606-677-9311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N THANNOLI PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2012-06-11",
"status": "A",
"authorized_official_last_name": "THANNOLI",
"authorized_official_first_name": "NATARAJAN",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "606-677-0854",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DF2752",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "65946147",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC GROUP #",
"identifier": "000000061076",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.