Active NPI
Christopher Thomas, M.D.
- Internal Medicine Physician
- Meadville, PA
National Provider Identifier
1073545653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD017026E
- Practice address
- 765 Liberty St
Suite # 307
Meadville, PA 16335-2566 - Phone
- (814) 336-1140
- Fax
- (814) 724-2196
- NPI assigned
- Jul 6, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD017026E | PA | Primary |
Addresses
Primary practice location
765 Liberty St
Suite # 307
Meadville, PA 16335-2566
Mailing address
765 Liberty St
Suite # 307
Meadville, PA 16335-2566
Phone (814) 336-1140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005927160006 | Medicaid | PA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017026E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Medical Associates | Internal Medicine | Current | Accepting new patients |
Locations
765 Liberty St
Ste 307
Meadville, PA 16335
Phone (814) 336-1140
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1073545653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 LIBERTY ST",
"address_2": "SUITE # 307",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352566",
"telephone_number": "814-336-1140",
"fax_number": "814-724-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 LIBERTY ST",
"address_2": "SUITE # 307",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352566",
"telephone_number": "814-336-1140",
"fax_number": "814-724-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD017026E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005927160006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.