Active NPI
Elbert Austin Thames, M.D.
- Surgery Physician
- Snyder, TX
National Provider Identifier
1104829985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E4717
- Practice address
- 1700 Cogdell Blvd
Snyder, TX 79549-6162 - Phone
- (325) 574-7437
- Fax
- (325) 574-7433
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E4717 | TX | Primary |
Addresses
Primary practice location
1700 Cogdell Blvd
Snyder, TX 79549-6162
Mailing address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 574-7437
Other practice location 1
3711 22nd St Ste C
Lubbock, TX 79410-1303
Phone (806) 370-0478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126214907 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scurry County Hospital District | Current | Accepting new patients | |
| Scurry County Hospital District | Current | Accepting new patients | |
| Covenant Medical Group | Surgery | Past | Accepting new patients |
| Covenant Medical Group | Past | Accepting new patients |
Locations
3711 22nd St
Ste C
Lubbock, TX 79410
Phone (806) 370-0478
1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Snyder, TX
- NPI 1124139159
-
dba Cogdell Memorial Hospital
- General Acute Care Hospital
- Snyder, TX
- NPI 1609971019
-
dba Covenant Family Healthcare Center
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1104829985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 COGDELL BLVD",
"city": "SNYDER",
"state": "TX",
"postal_code": "795496162",
"telephone_number": "325-574-7437",
"fax_number": "325-574-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 COGDELL BLVD",
"city": "SNYDER",
"state": "TX",
"postal_code": "795496162",
"telephone_number": "325-574-7437",
"fax_number": "325-574-7433"
}
],
"practiceLocations": [
{
"address_1": "3711 22nd St Ste C",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794101303",
"country_code": "US",
"telephone_number": "806-370-0478",
"fax_number": "325-574-7418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAMES",
"first_name": "ELBERT",
"middle_name": "AUSTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "E4717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126214907",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snyder, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.