Zanett M Thomas, PA – Physician Assistant

Key facts

NPI: 1104808963
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
Practice address: 1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone: (321) 494-4538
NPI assigned: Nov 17, 2005
Sex: Female
Sole proprietor: No

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.

Oscar H Jerkins, MD, PA Family Medicine Physician · Rockledge, FL · NPI 1013103605

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Oscar H Jerkins, MD, PA		Past since Jul 1, 2001	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X			Yes

Addresses

Primary practice location

1381 S Patrick Dr
Patrick Afb, FL 32925-3606

Mailing address

3832 Stream Dr
Melbourne, FL 32940-1103
Phone (321) 757-0204

Other providers in Patrick Afb, FL

Ananda Selvaraj, MD
Travis M Sloan, D.O.
William Alexander Steele, PA
Richard Warren Sumrall, MD
Nicole E Tafuri, D.O.
Adeline Thompson, LCSW
Susan T Thompson, LSW
Dawn Nicole Tipton
Denise Torres Garcia, PHYSICIAN ASSISTANT
David Valentine, PHARMD

All providers in Patrick Afb, FL · Physician Assistant in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.