NPIMap

Organization Active NPI

Robert L Thomas MD FCCP LLC

  • Pulmonary Disease Physician
  • Walterboro, SC
National Provider Identifier
1013110659
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17150 Issued in SC
Legal business name
ROBERT L THOMAS MD FCCP LLC
Practice address
300 Ruby St
Walterboro, SC 29488-2758
Phone
(843) 549-5599
Fax
(843) 549-5512
NPI assigned
Jun 11, 2007
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Dr. Robert Lal Thomas, MDNPI 1750351508
Title
Owner
Phone
(843) 549-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17150 SC
Pulmonary Disease Physician 207RP1001X 17150 SC Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17150 SC

Addresses

Primary practice location

300 Ruby St
Walterboro, SC 29488-2758

Mailing address

300 Ruby St
Walterboro, SC 29488-2758
Phone (843) 549-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109000114 SC Part B Supplier - Clinic/Group Practice 7911960166 Receives reassigned benefits from 1 practitioner
Practice locations: Walterboro, SC

National Provider Directory

National Provider Directory

Locations

300 Ruby St
Walterboro, SC 29488
Phone (843) 263-7087

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1013110659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RUBY ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882758",
            "telephone_number": "843-549-5599",
            "fax_number": "843-549-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RUBY ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882758",
            "telephone_number": "843-549-5599",
            "fax_number": "843-549-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L THOMAS MD FCCP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-549-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "17150",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "17150",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "17150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.