Provider Demographics
NPI:1720027923
Name:THORPE, GERALD W (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:W
Last Name:THORPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N. L ROGERS WELLS BVLD,
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-1300
Mailing Address - Country:US
Mailing Address - Phone:270-659-5865
Mailing Address - Fax:270-659-5854
Practice Address - Street 1:310 N. L ROGERS WELLS BVLD,
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1300
Practice Address - Country:US
Practice Address - Phone:270-659-5865
Practice Address - Fax:270-659-5854
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54690207V00000X
KY48842207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100403650Medicaid
CA00A546900Medicaid