Provider Demographics
NPI:1427267590
Name:THORNTON, DARCEY LYNETTE (MD)
Entity type:Individual
Prefix:DR
First Name:DARCEY
Middle Name:LYNETTE
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 1:11550 WINTON RD
Mailing Address - Street 2:ML 4000
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2355
Mailing Address - Country:US
Mailing Address - Phone:513-636-4681
Mailing Address - Fax:513-636-8844
Practice Address - Street 1:11550 WINTON RD
Practice Address - Street 2:ML 4000
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2355
Practice Address - Country:US
Practice Address - Phone:513-636-4681
Practice Address - Fax:513-636-8844
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.097201208000000X, 207R00000X, 207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine