Active NPI
Paul Stephen Thomas, MD
- Pediatrics Physician
- McAlester, OK
National Provider Identifier
1013970045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13819
- Practice address
- 1401 E Van Buren Ave
McAlester, OK 74501-4245 - Phone
- (918) 426-0240
- Fax
- (918) 423-4051
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13819 | OK | Primary |
Addresses
Primary practice location
1401 E Van Buren Ave
McAlester, OK 74501-4245
Mailing address
PO Box 908
McAlester, OK 74502-0908
Phone (918) 426-0240
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74502A016 | Other | OK | CHAMPUS (WPS) |
| 0166707 | Other | OK | UMWA |
| 731310891006 | Other | OK | UNICARE |
| 731310891028 | Other | OK | TRICARE SOUTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Clinic Inc | Current | Accepting new patients |
Locations
1401 E Van Buren Ave
McAlester, OK 74501
Phone (918) 421-8440
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
Interoperability endpoints
- pthomas7676@direct.saintfrancis.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1013970045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745020908",
"telephone_number": "918-426-0240",
"fax_number": "918-423-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E VAN BUREN AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014245",
"telephone_number": "918-426-0240",
"fax_number": "918-423-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PAUL",
"middle_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "13819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS (WPS)",
"identifier": "74502A016",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "0166707",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "731310891006",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH",
"identifier": "731310891028",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.