National Provider Identifier
Shane Robert Thorp, DO
Shane Robert Thorp, DO is listed in the NPPES registry with a primary specialty of Surgery Physician in Elmira, NY and a listed phone number of (607) 734-2695.
Profile Overview
- NPI
- 1821599952
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- February 23, 2018
- Last Updated
- June 03, 2024
Practice Location
- 600 Fitch St Ste 203
- Elmira, NY 14905-1634
Phone: (607) 734-2695
Mailing Address
- 600 Ivy St Ste 206
- Elmira, NY 14905-1627
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1821599952
- Entity Type
- Individual
- Last Name
- Thorp
- First Name
- Shane
- Middle Name
- Robert
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 600 Ivy St Ste 206
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1627
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2071
- Practice Street Address
- 600 Fitch St Ste 203
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1634
- Practice Country
- US
- Practice Phone
- (607) 734-2695
- Practice Fax
- (607) 734-2917
- Enumeration Date
- February 23, 2018
- Last Updated
- June 03, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)