DR. ERIC KIRK THOBURN MD NPI 1700883485

NPI Information

NPI: 1700883485
Provider Name: DR. ERIC KIRK THOBURN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

PECOS Registration: Yes

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0291
Get Directions

DR. Eric Kirk Thoburn, MD is a diagnostic radiology radiology in Gainesville, FL with 40 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Eric Kirk Thoburn, MD NPI is 1700883485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:1984

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 265-0291

The NPI 1700883485 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 7/7/2005 and was last updated on 10/13/2010.

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	208600000X	Surgery		ME0057091	FLORIDA	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	ME0057091	FLORIDA	No
3	2085B0100X	Radiology	Body Imaging	ME0057091	FLORIDA	No
4	2085D0003X	Radiology	Diagnostic Neuroimaging	ME0057091	FLORIDA	No
5	2085N0904X	Radiology	Nuclear Radiology	ME0057091	FLORIDA	No
6	2085P0229X	Radiology	Pediatric Radiology	ME0057091	FLORIDA	No
7	2085N0700X	Radiology	Neuroradiology	ME0057091	FLORIDA	No
8	2085R0203X	Radiology	Therapeutic Radiology	ME0057091	FLORIDA	No
9	2085R0202X	Radiology	Diagnostic Radiology	ME0057091	FLORIDA	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	002668700	MEDICAID	FLORIDA
2	F65178	MEDICARE UPIN	FLORIDA
3	23246U	MEDICARE PIN	FLORIDA

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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