Provider Demographics
NPI:1407063290
Name:WHORTON, THOMAS JAMES (RT(R), RDMS)
Entity Type:Individual
Prefix:MISS
First Name:THOMAS
Middle Name:JAMES
Last Name:WHORTON
Suffix:
Gender:M
Credentials:RT(R), RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 US HIGHWAY 60 E
Mailing Address - Street 2:
Mailing Address - City:BURNA
Mailing Address - State:KY
Mailing Address - Zip Code:42028-9224
Mailing Address - Country:US
Mailing Address - Phone:270-988-2992
Mailing Address - Fax:
Practice Address - Street 1:1422 US HIGHWAY 60 E
Practice Address - Street 2:
Practice Address - City:BURNA
Practice Address - State:KY
Practice Address - Zip Code:42028-9224
Practice Address - Country:US
Practice Address - Phone:270-988-2992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN382342471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography