Active NPI
Paul Thorn, PA-C
- Medical Physician Assistant
- Rockville, MD
National Provider Identifier
1992816482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0003523
- Practice address
- 15225 Shady Grove Rd
Suite 102
Rockville, MD 20850-3254 - Phone
- (301) 330-0661
- Fax
- (301) 977-6940
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0003523 | MD | Primary |
Addresses
Primary practice location
15225 Shady Grove Rd
Suite 102
Rockville, MD 20850-3254
Mailing address
15225 Shady Grove Rd
Suite 102
Rockville, MD 20850-3254
Phone (301) 330-0661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plotsky Medical Associates PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Potomac Physician Associates | Past | Accepting new patients |
Locations
15225 Shady Grove Rd
Ste 102
Rockville, MD 20850
Phone (301) 330-0661
Interoperability endpoints
- plotskymedicalassociates.paulthorn@127521.advancedmd-direct.com
Organizations & group practices 3
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Chevy Chase, MD
- NPI 1831112143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1992816482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15225 SHADY GROVE RD",
"address_2": "SUITE 102",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503254",
"telephone_number": "301-330-0661",
"fax_number": "301-977-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15225 SHADY GROVE RD",
"address_2": "SUITE 102",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503254",
"telephone_number": "301-330-0661",
"fax_number": "301-977-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "PAUL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0003523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.