Philip K. Thomas, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME29153 Issued in FL

Practice address

4428 Sugartree Dr E
Lakeland, FL 33813-1861

Phone

(863) 644-2704

NPI assigned

Sep 23, 2005

Last updated

Dec 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Philip Thomas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Lakeland, FL
  • NPI 1871542720
  NPD (past)
• Lakeland Regional Medical Center, Inc.

  dba Lakeland Regional Medical Center

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  NPD (past)
• Osprey Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lakeland, FL
  • NPI 1063461960
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1033105176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 SUGARTREE DR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131861",
            "telephone_number": "863-644-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 SUGARTREE DR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131861",
            "telephone_number": "863-644-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PHILIP",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME29153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DA5786",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "03530",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272077900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI /  LRHSI",
            "identifier": "1497748743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIP",
            "last_name": "THOMAS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kim Thomas
• Koshy Thomas, D.D.S.
• Lorna Alaina Thomas, PHD, LMHC, RD
• Mackenzie Thomas
• Marcdala Thomas, LCSW
• Pramod Thomas, B.PHARM, B.SC.
• Rainey Celest Thomas
• Seth Thomas
• Shari Elizabeth Thomas, RBT
• Tincy Thomas, O.D

• Surgery Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.