JONATHAN L THORNSBERRY (NPI# 1255411989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255411989 |
| Entity Type | Individual |
| Full Name | JONATHAN L THORNSBERRY |
| Credential | MD |
| Practice Address |
363 E. Route 66 Strafford MO 65757 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4177369175 |
| Practice Fax Number | 4177369178 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2003014014 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 126814 | 01 | |
| HEALTHLINK | 250766 | 01 | |
| RAILROAD MEDICARE | P00453855 | 01 | |
| MO | 200568103 | 05 | |
| MO | 1255411989 | 05 |
| Street Address |
363 E. ROUTE 66 |
| City | STRAFFORD |
| State | MO |
| Zip Code | 65757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525330 | Stacy Nadine Bober | Counselor | 1376 N Farm Road 227, Springfield, MO 65757 | 2010-08-11 |
| 1871743013 | Karin M. Caddell | Chiropractor | 278 Dewdrop Lane, Strafford, MO 65757 | 2008-09-24 |
| 1790843795 | Linda M Smith | Psychologist | 843 Beacon Hill Loop, Strafford, MO 65757 | 2006-12-04 |
| 1841386281 | Judith Anne Dasovich | Internal Medicine | 363 East Route 66, Strafford, MO 65757 | 2006-10-05 |
| 1386841021 | Mercy Clinic Springfield Communities | Durable Medical Equipment & Medical Supplies | 363 East Route 66, Strafford, MO 65757 | 2007-06-27 |
| 1861574816 | Jennifer A. Mcnay | Internal Medicine | 363 East Route 66, Strafford, MO 65757 | 2006-10-19 |
| 1801977301 | Shawnie S. Replogle | Family Medicine | 363 East Route 66, Strafford, MO 65757 | 2006-10-18 |
| 1336360254 | Susan Diane Heasley | Family Medicine | 363 E Old Rt 66, Strafford, MO 65757-7801 | 2007-05-01 |
| 1588639991 | Family Pharmacy of Strafford Inc. | Durable Medical Equipment & Medical Supplies | 307 E Old Route 66, Strafford, MO 65757-7801 | 2006-02-20 |
| 1700365491 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 307 E Old Route 66, Strafford, MO 65757-7801 | 2018-08-13 |
| Find all providers in zip 65757 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336360254 | Susan Diane Heasley | Family Medicine | 363 E Old Rt 66, Strafford, MO 65757-7801 | 2007-05-01 |
| 1801977301 | Shawnie S. Replogle | Family Medicine | 363 East Route 66, Strafford, MO 65757 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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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.