DR. JOHN BRADLEY THURSTON (NPI# 1902842800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902842800 |
| Entity Type | Individual |
| Full Name | DR. JOHN BRADLEY THURSTON |
| Credential | MD |
| Practice Address |
8330 Naab Rd Suite 140 Indianapolis IN 46260-5925 |
| Practice Telephone | 3178726760 |
| Practice Fax Number | 3178794029 |
| Mailing Telephone | 3178726760 |
| Mailing Fax Number | 3178794029 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 01024334A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS PIN # | 000000083383 | 01 |
| IN | AETNA PROVIDER # | 4248019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144296245 | John E Thurston | Family Medicine | 401 S 15th St, Worland, WY 82401-3530 | 2006-02-27 |
| 1144664848 | John Michael Thurston | Psychiatry & Neurology | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2013-04-24 |
| 1588959076 | John Lorenzo Thurston Jr. | Anesthesiology | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 | 2011-06-13 |
| Street Address |
8330 NAAB RD SUITE 140 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405397 | Mark H Stein | Pediatrics | 8330 Naab Rd, Ste 307, Indianapolis, IN 46260-5925 | 2005-08-23 |
| 1578102950 | Leslie Bruchey | Nurse Practitioner | 8330 Naab Rd, Indianapolis, IN 46260-5925 | 2020-01-02 |
| 1528473345 | Objective Surgical LLC | Case Manager/Care Coordinator | 8330 Naab Rd, Suite 140, Indianapolis, IN 46260-5925 | 2014-07-01 |
| 1447663240 | Jennifer L Rossa | Nurse Practitioner | 8330 Naab Rd, Suite 234, Indianapolis, IN 46260-5925 | 2014-06-09 |
| 1821367699 | Kathryn A. Kroeger, M.d., P.C. | Specialist | 8330 Naab Rd, Indianapolis, IN 46260-5925 | 2011-12-22 |
| 1093023046 | Indiana Center for Advanced Medicine | Clinic/Center | 8330 Naab Rd, Suite 235, Indianapolis, IN 46260-5925 | 2010-09-23 |
| 1144484361 | Christopher Scott Wickman | Internal Medicine | 8330 Naab Rd, Suite 234, Indianapolis, IN 46260-5925 | 2008-07-16 |
| 1477726578 | Stephanie Ann Riggen | Internal Medicine | 8330 Naab Rd, Suite 234, Indianapolis, IN 46260-5925 | 2008-04-09 |
| 1972781045 | Shar's Hair LLC | Durable Medical Equipment & Medical Supplies | 8330 Naab Rd, Suite 130, Indianapolis, IN 46260-5925 | 2008-01-31 |
| 1184807448 | Samia S Sheikh | Internal Medicine | 8330 Naab Rd, Suite 234, Indianapolis, IN 46260-5925 | 2007-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476981 | Nabil Elsahy | Plastic Surgery | 11680 Bluefin Ct, Indianapolis, IN 46236-8500 | 2017-02-14 |
| 1942543681 | Navid Pourtaheri | Plastic Surgery | 705 Riley Hospital Dr Ste 3538, Indianapolis, IN 46202-5109 | 2013-04-01 |
| 1841432374 | David S. Slatton Md, PC | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2009-03-30 |
| 1457573917 | Jessica Nguyen Gillespie | Plastic Surgery | 8051 South Emerson Avenue, Suite 450, Indianapolis, IN 46237 | 2007-05-03 |
| 1578646584 | Mary Elizabeth Lester | Plastic Surgery | 545 Barnhill Dr # Eh232, Indianapolis, IN 46202-5112 | 2006-10-23 |
| 1215020201 | Andrew Jay Mandery | Plastic Surgery | 8402 Harcourt Rd Ste 120, Indianapolis, IN 46260-2006 | 2006-10-02 |
| 1134179229 | Gayle M. Gordillo | Plastic Surgery | 545 Barnhill Dr # 232, Indianapolis, IN 46202 | 2006-05-11 |
| 1538117585 | Howard Dash | Plastic Surgery | 1400 N Ritter Ave Ste 120, Indianapolis, IN 46219-3045 | 2006-05-04 |
| 1124096433 | Amelita G. Del Mundo | Plastic Surgery | 6845 Antelope Dr, Indianapolis, IN 46278-1891 | 2006-03-10 |
| 1235627282 | Adam C. Cohen Plastic Surgery, LLC | Plastic Surgery | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2018-04-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.