Provider Demographics
NPI:1750479044
Name:THORP, JOHN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:THORP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7535 CARPENTER FIRE STATION RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8617
Mailing Address - Country:US
Mailing Address - Phone:919-230-2100
Mailing Address - Fax:919-230-2133
Practice Address - Street 1:7535 CARPENTER FIRE STATION RD
Practice Address - Street 2:SUITE 105
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8617
Practice Address - Country:US
Practice Address - Phone:919-230-2100
Practice Address - Fax:919-230-2133
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-07-18
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Provider Licenses
StateLicense IDTaxonomies
NC29877207VM0101X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1750479044Medicaid
NC8980332Medicaid
NC210963Medicare PIN
NCNCP827F101Medicare PIN
NC8980332Medicaid