Nels Wallace Thorderson
MD | Foot and Ankle Surgery | 27+ years Exp
Medicare Enrolled 499 S Gloster St Ste G1, Tupelo
Mississippi, 38801-5539
662-377-2663 Maps & DirectionsNels Wallace Thorderson is a Tupelo, Mississippi based orthopedic surgeon with 27 years of experience in Foot and Ankle Surgery. He completed his graduation from Wayne State University School Of Medicine in 1998. He is also affiliated with hospitals like North Mississippi Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nels Wallace Thorderson is 18527 for Orthopedic Surgery in Mississippi.
Nels Wallace Thorderson deals with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Complete Profile:
Nels Wallace Thorderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Foot and Ankle Surgery |
| Credentials: | MD |
| Experience: | 27+ years |
| Medical School Attended: | Wayne State University School Of Medicine |
| Graduation Year: | 1998 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 499 S Gloster St Ste G1, Tupelo,
Mississippi, 38801-5539 |
| Phone: | 662-377-2663 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5890760706 |
| Enrollment ID: | I20040901001196 |
| NPI Number: | 1740250331 |
| NPI Enumeration Date: | 25 Jan, 2006 |
| NPI Last Update On: | 26 Jan, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nels Wallace Thorderson are as mentioned below.
| License Number | Specialization | State | Status | |
| 18527 | Orthopedic Surgery | Mississippi | Primary | |
| 18527 | Foot and Ankle Surgery | Mississippi | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| North Mississippi Medical Center (250004) | Tupelo, MS | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nels Wallace Thorderson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Orthopaedic Institute Of North Mississippi, Llc (7113914078) | 11 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nels Wallace Thorderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01573566 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 499 S Gloster St # G1,
Tupelo, Mississippi |
| Zip: | 38801-5539 |
| Phone Number: | 662-377-2663 |
| Fax Number: | -- |
Patients can reach Nels Wallace Thorderson at
499 S Gloster St Ste G1, Tupelo, Mississippi or can
call to book an appointment on 662-377-2663.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.