Healthcare Provider Details

I. General information

NPI: 1427267590
Provider Name (Legal Business Name): DARCEY LYNETTE THORNTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 12/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11550 WINTON RD ML 4000
CINCINNATI OH
45240-2355
US

IV. Provider business mailing address

11550 WINTON RD ML 4000
CINCINNATI OH
45240-2355
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4681
  • Fax: 513-636-8844
Mailing address:
  • Phone: 513-636-4681
  • Fax: 513-636-8844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.097201
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.097201
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number35.097201
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: