Robert R Thomas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1586 Issued in AK

Practice address

4015 Lake Otis Pkwy
Suite 201
Anchorage, AK 99508-5211

Phone

(907) 771-3500

Fax

(907) 771-3550

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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.

• Alaska Center for Pain Relief Inc

  • Interventional Pain Medicine Physician
  • Anchorage, AK
  • NPI 1275922346

  AK

  Medicare reassignment NPD
• Alaska Orthopedic Specialists, LLC

  • Orthopaedic Hand Surgery Physician
  • Anchorage, AK
  • NPI 1497994859

  AK

  Medicare reassignment
• Coastal Neurology and Neurosurgery, Inc

  • Neurological Surgery Physician
  • Anchorage, AK
  • NPI 1689927626
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10583/brand/2/csg/1/fhir/r4
• Direct secure messaging: robert.thomas@akhes.directbygreenway.com
• Direct secure messaging: robert.thomas.1@31293.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2012.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1104805597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY",
            "address_2": "SUITE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085211",
            "telephone_number": "907-771-3500",
            "fax_number": "907-771-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY",
            "address_2": "SUITE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085211",
            "telephone_number": "907-771-3500",
            "fax_number": "907-771-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "205515193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD34481",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pam Eileen Thomas, D.AC., L.AC.
• Pati A Thomas
• Paul Michael Thomas, PHARM.D.
• Phyllis Marie Thomas
• Robert C Thomas, M.D.
• Teshonda Lillian Thomas, BHT
• Timothy Kioko Thomas, M.D.
• Timothy Scott Thomas I
• Tionna Marie Viranique Thomas
• Tracy N Thomas, RN

• All providers in Anchorage, AK
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.