Gordon M Thomas, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

140385 Issued in NY

Practice address

79 North St
Granville Family Health Center
Granville, NY 12832-1137

Phone

(518) 642-0612

Fax

(518) 642-0693

NPI assigned

May 12, 2006

Last updated

Jun 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Chicago College of Osteopathy, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gordon.thomas@cdirectglensfallshosp.org
• Direct secure messaging: gthomas102551@albanymed.direct-ci.com

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.

• Glens Falls Hospital Inc.

  dba Adirondack Medical Services

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1336198217
  Medicare reassignment Care Compare group NPD
• Glens Falls Hospital Inc

  dba Glens Falls Hospital Community Pharmacy

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1619990991
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1083665582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 NORTH ST",
            "address_2": "GRANVILLE FAMILY HEALTH CENTER",
            "city": "GRANVILLE",
            "state": "NY",
            "postal_code": "128321137",
            "telephone_number": "518-642-0612",
            "fax_number": "518-642-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GORDON",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "140385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gordon.thomas@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "79 North St",
            "address_2": "Granville Family Health Center",
            "city": "Granville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128321137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Smith, LCSW
• Genevieve Smith, RN
• Speech Therapy Health PLLC
• Zenova Robin St.Louis-Dudley, LPN
• Tamme June Taran, RN
• Brandy Lee Wadsworth
• Walgreen Co (Walgreens #17717)
• Courtney Alexis Washburn, PHARM D
• Carolyn Gibbs Whitney, MSW
• Laura S Whitney, PHARMD

• Family Medicine Physician in Granville, NY
• Providers in Granville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.

Verify at the official NPI Registry.