John L Thorne (NPI# 1639200538, PAC ID# 6002908902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1639200538 |
| PAC ID by PECOS | 6002908902 |
| Professional Enrollment ID | I20070823000364 |
| Full Name | John L Thorne |
| Organization Legal Name | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| Address |
11990 N Central Expressway Dallas TX 75243-3714 |
| Phone Number | 4696245752 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 7113231358 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450880 | BAYLOR SURGICAL HOSPITAL AT FORT WORTH |
| 670090 | CRESCENT MEDICAL CENTER LANCASTER |
| Address | Phone | Organization |
|---|---|---|
| 11990 N Central Expressway, Dallas, TX 75243-3714 | 4696245752 | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| 415 E Southlake Blvd, Suite 202, Southlake, TX 76092-6280 | 8174168080 | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| Organization Legal Name | CHAMPION ANESTHESIA CONSULTANTS PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa C Chenault | Certified Registered Nurse Anesthetist (crna) | Champion Anesthesia Consultants Pllc | 2850 E State Hwy 114, Trophy Club, TX 76262-5302 |
| Gregory B Gaskin Ii | Anesthesiology | Champion Anesthesia Consultants Pllc | 415 E Southlake Blvd, Suite 202, Southlake, TX 76092-6280 |
| Michael L Gibson | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
| Jeanne B Wallace | Anesthesiology | Champion Anesthesia Consultants Pllc | 1545 E Southlake Blvd, Southlake, TX 76092-6422 |
| Christine C Wyrick | Anesthesiology | Champion Anesthesia Consultants Pllc | 1400 8th Ave, Fort Worth, TX 76104-4110 |
| David B Serota | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
| Jonathon S Scarborough | Certified Registered Nurse Anesthetist (crna) | Champion Anesthesia Consultants Pllc | 415 E Southlake Blvd, Suite 202, Southlake, TX 76092-6280 |
| Timothy T Tye | Anesthesiology | Champion Anesthesia Consultants Pllc | 11970 N Central Expy, Suite 610, Dallas, TX 75243-3768 |
| Robert M Lagon | Anesthesiology | Champion Anesthesia Consultants Pllc | 1351 W President George Bush Hwy, Richardson, TX 75080-1133 |
| Joseph V Nicolosi | Anesthesiology | Champion Anesthesia Consultants Pllc | 2850 E State Hwy 114, Trophy Club, TX 76262-5302 |
| Street Address |
11990 N CENTRAL EXPRESSWAY |
| City | DALLAS |
| State | TX |
| Zip | 75243-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Autumn E Stoos | Anesthesiology | 11990 N Central Expressway, Dallas, TX 75243-3714 | |
| Maulik P Parikh | Anesthesiology | Champion Anesthesia Consultants Pllc | 11990 N Central Expressway, Dallas, TX 75243-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette E Murray | Physical Therapy | Htk Enterprises LLC | 11882 Greenville Ave, Suite 127, Dallas, TX 75243-0514 |
| Janice L. Walker | Occupational Therapy | Htk Enterprises LLC | 11882 Greenville Ave, Suite 127, Dallas, TX 75243-0514 |
| Ila E Dennis | Clinical Social Worker | 11882 Greenville Ave, Suite B125, Dallas, TX 75243-0586 | |
| Shyh Jye Wang | Optometry | 13739 N Central Expy, Midpark Eyecare, Dallas, TX 75243-1003 | |
| Poonam Dubal Desai | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Mark E Cartwright | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Louanne Parker | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Andria Mccarty | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Kalima Charway | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Anna S Tseng | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Find all physicians in zip 75243 | |||
| City | DALLAS |
| Zip Code | 75243 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | DALLAS + ANESTHESIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.