TODD ELLIOTT THURSTON M.D. NPI 1790911972

NPI Information

NPI: 1790911972
Provider Name: TODD ELLIOTT THURSTON, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: THE PLASTIC SURGERY GROUP, P.C.

PECOS Registration: Yes

Address:
979 E 3RD ST
STE C920
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 756-7134
Get Directions

Todd Elliott Thurston, M.D. is a plastic and reconstructive surgery surgery in Chattanooga, TN with 15 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Todd Elliott Thurston, M.D. NPI is 1790911972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

979 E 3RD ST
STE C920
CHATTANOOGA, TN
ZIP 37403-136
Phone: (423) 756-7134
Fax: (423) 763-4571

The NPI 1790911972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 5/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		MD0000055433	TENNESSEE	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	MD0000055433	TENNESSEE	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program		4301108131	MICHIGAN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q027474	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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