MR. JOHN KERSEY THROCKMORTON (NPI# 1114983723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114983723 |
| Entity Type | Individual |
| Full Name | MR. JOHN KERSEY THROCKMORTON |
| Other Name | JOHN K THROCKMORTON |
| Credential | DPM |
| Practice Address |
3390 East Jolly Rd Lansing MI 48910 |
| Practice Telephone | 5178828673 |
| Practice Fax Number | 5178823935 |
| Mailing Telephone | 5178828673 |
| Mailing Fax Number | 5178823935 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901000906 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 5335346 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215114970 | John R Throckmorton | Marriage & Family Therapist | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2008-01-24 |
| 1952358624 | John F Throckmorton IIi | Physical Therapist | 9501 N Oak Trfy, Suite 201, Kansas City, MO 64155-2256 | 2006-05-28 |
| Street Address |
3390 EAST JOLLY RD |
| City | LANSING |
| State | MI |
| Zip Code | 48910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
| 1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
| 1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
| 1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
| 1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
| Find all providers in zip 48910 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881044048 | Sarah Hilton | Podiatrist | 912 Centennial Way Ste 380, Lansing, MI 48917-8246 | 2016-06-20 |
| 1558530055 | Armand R. Gasbarro, Dpm | Podiatrist | 3350 Ridge Rd, Lansing, IL 60438-3112 | 2008-02-28 |
| 1083801385 | 7stines Podiatry Center,pc | Podiatrist | 701 Snow Rd, Suite C, Lansing, MI 48917-4087 | 2007-10-01 |
| 1679652283 | Brian Spencer Goosen | Podiatrist | 3802 W Kalamazoo St, Lansing, MI 48917-3653 | 2006-11-03 |
| 1669575254 | Armand Ralph Gasbarro | Podiatrist | 3350 Ridge Road, Lansing, IL 60438 | 2006-09-07 |
| 1114300530 | Foremost Podiatry, P.C. | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2015-07-02 |
| 1427475607 | Jonathon M Rayman | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2014-03-25 |
| 1487893533 | Matthew Karl Wolfgang Thomson | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2009-02-12 |
| 1023282373 | Mid-michigan Podiatry, PC | Podiatrist | 1540 Lake Lansing Rd, Suite 102, Lansing, MI 48912-3756 | 2008-04-17 |
| 1104099746 | Comprehensive Foot Centers | Podiatrist | 1004 Progress Dr, Suite 180, Lansing, KS 66043-6326 | 2008-04-03 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.