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DR. GARY MARVIN THORNE MD FACS NPI 1841306339


NPI Information

NPI: 1841306339
Provider Name: DR. GARY MARVIN THORNE, MD, FACS
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
307 SAINT JOHNS WAY
SUITE 5
LEWISTON, ID
ZIP 83501
Phone: (208) 746-0133
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DR. Gary Marvin Thorne, MD, FACS is a specialist in Lewiston, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Gary Marvin Thorne, MD, FACS NPI is 1841306339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

307 SAINT JOHNS WAY
SUITE 5
LEWISTON, ID
ZIP 83501-435
Phone: (208) 746-0133
Fax: (208) 746-0134

The NPI 1841306339 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 8/21/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistM-3996IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
191-1074791MEDICARE UPINIDAHO
21114841MEDICARE ID-TYPE UNSPECIFIEDIDAHOIDAHO MEDICARE
30083005OTHERIDAHODLI
4AB37301MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONWASHINGTON MEDICARE
5001529600MEDICAIDIDAHO
61502103MEDICAIDWASHINGTON
7000010006068OTHERIDAHOREGENCE
813DO521109OTHERIDAHOLAB
9C36899MEDICARE UPINIDAHO
10020000786MEDICARE ID-TYPE UNSPECIFIEDIDAHORAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.