Thoran Farnsworth (NPI# 1437414406, PAC ID# 2567790371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1437414406 |
| PAC ID by PECOS | 2567790371 |
| Professional Enrollment ID | I20190817000345 |
| Full Name | Thoran Farnsworth |
| Organization Legal Name | IRAD SERVICES INC |
| Address |
5033 Vine Ln Grovetown GA 30813-8214 |
| Phone Number | 8004664723 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7315205465 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 511301 | WEBSTER COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5033 Vine Ln, Grovetown, GA 30813-8214 | 8004664723 | IRAD SERVICES INC |
| Organization Legal Name | IRAD SERVICES INC |
| Physicians | 1 |
| Street Address |
5033 VINE LN |
| City | GROVETOWN |
| State | GA |
| Zip | 30813-8214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli M Carter | Family Medicine | Urgent Md Healthcare Services, P.C. | 101 Fornum Dr, Grovetown, GA 30813-2697 |
| Benjamin M Gentry | Physician Assistant | Nephrology Associates PC | 442 Park 20, Grovetown, GA 30813-3216 |
| Samuel Casey Pitts | General Surgery | Umg General Surgery LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
| Faiz U Rehman | Cardiovascular Disease (cardiology) | University Cardiology Associates LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
| Jared W Mitchell | General Surgery | Umg General Surgery LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
| Giselle Blair | Family Practice | University Medical Group LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
| Macy Caldwell | Optometry | Tippett Eyecare, PC | 701 Devika Dr, Suite 3, Grovetown, GA 30813-5137 |
| City | GROVETOWN |
| Zip Code | 30813 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GROVETOWN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Thoran Farnsworth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.