1457432833 NPI number — DR. LISA M THORN M.D.

Table of content: DR. LISA M THORN M.D. (NPI 1457432833)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457432833 NPI number — DR. LISA M THORN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THORN
Provider First Name:
LISA
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457432833
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/18/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
711 TROY SCHENECTADY RD STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LATHAM
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12110-2461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-782-3700
Provider Business Mailing Address Fax Number:
518-782-3799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3305 ROUTE 43
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AVERILL PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-674-5797
Provider Business Practice Location Address Fax Number:
518-674-2396
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  187244 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10002042 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5731176 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01397479 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 92949 . This is a "GHI/HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5562A1 . This is a "EMPIRE BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: FIDELIS . This is a "070129000060" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000401537006 . This is a "BSNENY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 383845 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: SENIOR WHOLE HEALTH . This is a "200249" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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