Active NPI
Mary Elizabeth Thorne, M.D.
- Family Medicine Physician
- East Lansing, MI
National Provider Identifier
1972609683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301050887
- Practice address
- 1280 Chartwell Carriage Way North
East Lansing, MI 48823-2404 - Phone
- (517) 337-2030
- Fax
- (517) 337-2030
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301050887 | MI | Primary |
Addresses
Primary practice location
1280 Chartwell Carriage Way North
East Lansing, MI 48823-2404
Mailing address
1280 Chartwell Carriage Way North
East Lansing, MI 48823-2404
Phone (517) 337-2030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803306961 | Other | MI | BCBS INDIVIDUAL PIN |
| 2753674 | Medicaid | MI |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301050887 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1972609683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 CHARTWELL CARRIAGE WAY NORTH",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232404",
"telephone_number": "517-337-2030",
"fax_number": "517-337-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 CHARTWELL CARRIAGE WAY NORTH",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232404",
"telephone_number": "517-337-2030",
"fax_number": "517-337-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301050887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PIN",
"identifier": "0803306961",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2753674",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.