Healthcare Provider Details

I. General information

NPI: 1992153712
Provider Name (Legal Business Name): THORPE MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 06/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5710 SILVER HILL RD
DISTRICT HEIGHTS MD
20747-1101
US

IV. Provider business mailing address

5710 SILVER HILL RD
DISTRICT HEIGHTS MD
20747-1101
US

V. Phone/Fax

Practice location:
  • Phone: 202-294-3815
  • Fax:
Mailing address:
  • Phone: 202-294-3815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberD78228
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD78228
License Number StateMD

VIII. Authorized Official

Name: ARTHUR N THORPE
Title or Position: SOLE MEMBER
Credential: MD
Phone: 202-294-3815