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MATTHEW THORNBURG DO
NPI 1376394197
Student in an Organized Health Care Education/Training Program in Lutz, FL

Active since March 29, 2024PECOS Enrolled
21808 STATE ROAD 54, LUTZ, FL 33549(813) 922-8621 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Thornburg Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW THORNBURG DO (NPI 1376394197) is an individual student in an organized health care education/training program in Lutz, Florida and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376394197
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW THORNBURGCredential: DO
Location Address21808 STATE ROAD 54Lutz, FL 33549-6923
Mailing Address21808 State Road 54Lutz, FL 33549-6923 · (813) 922-8621
Phone(813) 922-8621
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1376394197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
21808 STATE ROAD 54, Lutz, FL 33549
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Thornburg Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELEN FANTA MD
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (813) 922-8621
DAIMARYS PEREZ
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (813) 922-8621
DR. KAYLAH LEEIGH TURPIN DNP
Nurse Practitioner (Psychiatric/Mental Health)
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (727) 820-8200
MILLIN SEKHON
Psychiatry & Neurology (Psychiatry)
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (866) 762-1743
JAMES DONATO TUTTLE MD
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (727) 315-8612
JULIA MCCANN DO
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (813) 922-8621
MAXIE REAVIS DO
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (509) 452-5100
AMY AMOAH MD
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Hillsborough County (813) 922-8621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Thornburg's NPI number?

The NPI number for Matthew Thornburg is 1376394197. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Matthew Thornburg located?

Matthew Thornburg practices at 21808 State Road 54, Lutz, FL 33549. The listed phone number is (813) 922-8621.

What is Matthew Thornburg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Thornburg enrolled in Medicare?

Yes. Matthew Thornburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Thornburg was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.