COURTNEY THORNBURG M.D. NPI 1538222310

NPI Information

NPI: 1538222310
Provider Name: COURTNEY THORNBURG, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
3010 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-5811
Get Directions

Courtney Thornburg, M.D. is a pediatric hematology-oncology pediatrics in San Diego, CA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Courtney Thornburg, M.D. NPI is 1538222310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3010 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123-223
Phone: (858) 966-5811
Fax: (858) 966-8035

The NPI 1538222310 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 12/19/2006 and was last updated on 11/12/2014.

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	208000000X	Pediatrics		2005-00360	NORTH CAROLINA	No
2	208000000X	Pediatrics		C 55985	CALIFORNIA	No
3	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	2005-00360	NORTH CAROLINA	No
4	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	C 55985	CALIFORNIA	Yes

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
1	I14676	MEDICARE UPIN
2	2040116	MEDICARE PIN	NORTH CAROLINA
3	5900803	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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