Provider Demographics
NPI:1558301697
Name:THORNTON, HELEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:R
Last Name:THORNTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5548 WM FLYNN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044
Mailing Address - Country:US
Mailing Address - Phone:724-444-6330
Mailing Address - Fax:724-444-0607
Practice Address - Street 1:5548 WILLIAM FLYNN HWY
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9315
Practice Address - Country:US
Practice Address - Phone:724-444-6330
Practice Address - Fax:724-444-0607
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036525E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA035352OtherHIGHMARK
PA0011481760001Medicaid
PAB33998Medicare UPIN
PA035352Medicare ID - Type Unspecified