Tanner Tod Thornton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8056 Issued in AZ

Practice address

725 S Dobson Rd Ste 100
Chandler, AZ 85224-5676

Phone

(602) 795-8700

Fax

(602) 795-8701

NPI assigned

Jul 6, 2020

Last updated

Oct 16, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Spine and Pain Specialists LLCGroup PAC ID 7214251396, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Arizona Spine and Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Glendale, AZ
  • NPI 1336552140
  Medicare reassignment Care Compare group NPD
• Arizona Spine and Pain Specialists LLC

  dba AZ Pain Doctors

  • Durable Medical Equipment & Medical Supplies
  • Sun City West, AZ
  • NPI 1871124206
  NPD

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1972121036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8710",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S DOBSON RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245676",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 E Hermosa Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032030",
            "country_code": "US",
            "telephone_number": "480-299-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Country Club Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106044",
            "country_code": "US",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "TANNER",
        "middle_name": "TOD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Thompson
• Tessa Joy Thompson
• Loretta Thorkelson, PHARM. D
• Stephanie Thorn, LCSW
• Linda Faye Thornton, O.T.
• Thrive Behavioral Residence
• Thrive Psychiatry
• Thrivepath Nutrition
• Austin Roy Thruston, CRNA
• Kristen Thurmond

• Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.