Courtney Thornburg

M.D. | Pediatric Hematology-Oncology | Female

---

Complete Profile:

Courtney Thornburg basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Courtney Thornburg
Credential :	M.D.
Gender :	Female

Business Address:

Courtney Thornburg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3010 Childrens Way San Diego, CA, 92123-4223 United States
Phone Number :	858-966-5811
Fax Number :	858-966-8035

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1538222310
NPI Entity Type :	Individual
First Enrolment Date :	19 Dec, 2006
Last Updated On :	12 Nov, 2014

Medicare Participation:

Courtney Thornburg participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1153397187
Medicare Enrollment ID :	I20131118000032
Primary Specialty :	Pediatric Medicine
Medical School :	Duke University School Of Medicine
Graduation Year :	1998
Accepts Medicare?	Yes. Courtney Thornburg accepts medicare insurance.

Group Practice Association:

Courtney Thornburg is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Courtney Thornburg is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Rady Children's Hospital - San Diego	3971677493	120	3010 Children's Way Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3020 Childrens Way Mc 5069 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3030 Childrens Way San Diego, CA - 921234223	Yes
Rady Children's Hospital - San Diego	3971677493	120	8110 Birmingham Way Bldg 28 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8589664003	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Courtney Thornburg are as mentioned. Primary taxonomy code for Courtney Thornburg, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	2005-00360	NC
208000000X	Pediatrics	No	2005-00360	NC
208000000X	Pediatrics	No	C 55985	CA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	C 55985	CA

Legacy Identifiers:

Other legacy medical identifiers of Courtney Thornburg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
5900803	MEDICAID	NC

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3020 Childrens Way, Mc 5003 San Diego, CA, 92123-4223 United States
Phone Number :	858-309-6300
Fax Number :	858-309-6301

Business Location:

Patients can refer following map for directions to Courtney Thornburg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.