NPIMap

Organization Active NPI

Jack M Thomas MD PLLC

  • Specialist
  • Greenville, TX
National Provider Identifier
1003018359
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4718 Issued in TX
Legal business name
JACK M THOMAS MD PLLC
Practice address
4101 Wesley St Ste B
Greenville, TX 75401-5635
Phone
(903) 454-7555
Fax
(903) 450-4420
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jack M Thomas Jr., MD
Title
Owner
Phone
(903) 454-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X E4718 TX Primary

Addresses

Primary practice location

4101 Wesley St Ste B
Greenville, TX 75401-5635

Mailing address

PO Box 8452
Greenville, TX 75404-8452
Phone (903) 454-7555

National Provider Directory

National Provider Directory

Locations

4101 Wesley St
Ste B
Greenville, TX 75401
Phone (903) 454-7555

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1003018359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8452",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048452",
            "telephone_number": "903-454-7555",
            "fax_number": "903-450-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WESLEY ST STE B",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015635",
            "telephone_number": "903-454-7555",
            "fax_number": "903-450-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M THOMAS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-454-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E4718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.