Physician Compare National (NPI:1629368089)

HEALTHCARE PROVIDER: AXEL THORS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629368089
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769623057
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170510001932
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THORS
	Individual professional last name
Provider First Name	AXEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	KANSAS UNIVERSITY PHYSICIANS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8921911587
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1053
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3901 RAINBOW BLVD
	Group Practice or individual's line 1 address
City	KANSAS CITY
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	661602937
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9135887013
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF KANSAS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	170104
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHAWNEE MISSION MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	170049
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OLATHE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	170146
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PROVIDENCE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	170137
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	LAWRENCE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1629368089)

HEALTHCARE PROVIDER: AXEL THORS D.O.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information