Mira-Su Thurston, PA-C

Key facts

NPI

1992848352

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

PA637 (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

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Mainehealth Psychiatric Hospital · Westbrook, ME · NPI 1790265502
  Medicare reassignment ME
• Penobscot Bay Physicians & Associates Multi-Specialty Clinic/Center · Rockport, ME · NPI 1497799720
  Medicare reassignment ME
• Mainehealth Community/Retail Pharmacy · Portland, ME · NPI 1013868181
  NPD
• Mainehealth Critical Access Hospital · Norway, ME · NPI 1447730247
  NPD

Hospital & facility affiliations 2

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

• Mainehealth Critical Access Hospital · Belfast, ME · NPI 1841397932
  Care Compare affiliation Hospital
• Mainehealth General Acute Care Hospital · Rockport, ME · NPI 1982645305
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mainehealth (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 participation

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 25, 2013.

{
    "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": []
}

Other providers in Rockport, ME

• 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

All providers in Rockport, ME · Medical Physician Assistant in Maine