| Mr John Kersey Throckmorton, DPM | |
|
111 E 3rd Ave, Gastonia, NC 28052-4317 | |
| (704) 874-3300 | |
| (704) 874-0065 |
| Full Name | Mr John Kersey Throckmorton |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 111 E 3rd Ave, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114983723 | NPI | - | NPPES |
| 5335346 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 702 (North Carolina) | Primary |
| Provider Name | Gaston Family Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
| Provider Name | Gooden Mobile Pod Nc Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073003752 PECOS PAC ID: 2769738715 Enrollment ID: O20180703003175 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Kersey Throckmorton, DPM 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904 | Mr John Kersey Throckmorton, DPM 111 E 3rd Ave, Gastonia, NC 28052-4317 Ph: (704) 874-3300 |
Melanie Eubanks, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1421a E Franklin Blvd, Gastonia, NC 28054 Phone: 704-674-9272 | |
Mr. Robert Christopher Olson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2345 Court Drive, Gastonia, NC 28054 Phone: 704-865-0077 Fax: 704-867-6401 | |
Revonda Lashawn Jessup, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2721 X Ray Dr, Gastonia, NC 28054 Phone: 704-874-2255 | |
Dr. David Russell Kirlin I, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 Fax: 704-861-0274 | |
Dr. Wagner Gilbert Santiago, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 Fax: 704-861-0274 | |
Dr. Randall J Contento, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 |