Active NPI
Shirley A Thomas, M.D.
- Obstetrics & Gynecology Physician
- Fishers, IN
National Provider Identifier
1033109251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01030422A
- Practice address
- 13914 Southeastern Pkwy
Suite 314
Fishers, IN 46037-7127 - Phone
- (317) 872-1415
- Fax
- (317) 337-2571
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01030422A | IN | Primary |
Addresses
Primary practice location
13914 Southeastern Pkwy
Suite 314
Fishers, IN 46037-7127
Mailing address
2799 Circle Court
Carmel, IN 46032
Phone (317) 871-2799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100236320 | Medicaid | IN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01030422A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- shirley.thomas@ogi.gwaydirect.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 Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1033109251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 CIRCLE COURT",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-871-2799",
"fax_number": "317-337-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13914 SOUTHEASTERN PKWY",
"address_2": "SUITE 314",
"city": "FISHERS",
"state": "IN",
"postal_code": "460377127",
"telephone_number": "317-872-1415",
"fax_number": "317-337-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHIRLEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01030422A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100236320",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.