Individual provider Active NPI

Tanya L Thoms, DPM

  • Foot Surgery Podiatrist
  • Peoria, AZ
National Provider Identifier
1003932328
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0658 Issued in AZ
Practice address
9045 W Athens St
Peoria, AZ 85382-8155
Phone
(623) 760-5802
Fax
(623) 572-3449
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0658 AZ Primary

Addresses

Primary practice location

9045 W Athens St
Peoria, AZ 85382-8155

Mailing address

PO Box 11163
Glendale, AZ 85318-1163
Phone (623) 760-5802

Other identifiers 1

IdentifierTypeStateIssuer
294773MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0658AZMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya Thoms, DPM PLLC Past Accepting new patients
Melhuish & Associates PC Foot Surgery PastSince Jul 15, 2005 Accepting new patients
Melhuish & Associates PC Foot Surgery PastSince Feb 13, 2022 Accepting new patients
Arizona Primary Care Physicians, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tanya.thoms.p1@direct.nachci.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1003932328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11163",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853181163",
            "telephone_number": "623-760-5802",
            "fax_number": "623-572-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 W ATHENS ST",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828155",
            "telephone_number": "623-760-5802",
            "fax_number": "623-572-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMS",
        "first_name": "TANYA",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294773",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.