Mira-Su Thurston, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA637 Issued in ME

Practice address

7 Madelyn LN
Suite 200
Rockport, ME 04856-4460

Phone

(207) 593-5900

Fax

(207) 593-5358

NPI assigned

Feb 15, 2007

Last updated

Jun 25, 2013By the provider in NPPES

Sex

Female

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 ME

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063
• Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mthurston10807@direct.mmc.mainehealth.org

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.

• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment Care Compare group
• Penobscot Bay Physicians & Associates

  • Multi-Specialty Clinic/Center
  • Rockport, ME
  • NPI 1497799720
  Medicare reassignment
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba MaineHealth Stephens Hospital

  • Critical Access Hospital
  • Norway, ME
  • NPI 1447730247
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Care Compare affiliation
• Mainehealth

  dba MaineHealth Pen Bay Hospital

  • General Acute Care Hospital
  • Rockport, ME
  • NPI 1982645305
  Care Compare affiliation

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1992848352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MADELYN LN",
            "address_2": "SUITE 200",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564460",
            "telephone_number": "207-593-5900",
            "fax_number": "207-593-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MADELYN LN",
            "address_2": "SUITE 200",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564460",
            "telephone_number": "207-593-5900",
            "fax_number": "207-593-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "MIRA-SU",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandre Tanner, D.O.
• Carrie Thackeray, M.D.
• Randal Thivierge, DSS
• Elizabeth A Thompson, PA-C
• Holly S Thro, MD
• Christina Lynn Tibbetts, R.D.H.
• Tidewater Therapy
• Jana M Tobin, PT
• Sonja Tomic, M.D.
• Town of Rockport (Rockport Fire Department)

• Medical Physician Assistant in Rockport, ME
• Providers in Rockport, ME by specialty
• Medical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.