Thomas J Derbes MD PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME48177 Issued in FL

Legal business name

THOMAS J DERBES MD PA

Practice address

2103 Jenks Ave
Panama City, FL 32405-4511

Phone

(850) 913-8996

Fax

(850) 913-8956

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Joseph Derbes, M.D.

Title

President

Phone

(850) 913-8996

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1114137114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-913-8996",
            "fax_number": "850-913-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-913-8996",
            "fax_number": "850-913-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J DERBES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "DERBES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-913-8996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME48177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26046",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042840000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy Junction Inc.
• Therapy One Rehabilitation Center, Inc.
• Therapy Online Inc
• There'S No Place Like Hope
• Sarah Theriot
• Thomas J. Derbes, M.D., LLC
• Audegyne Thomas-Douyon, LMHC
• Jennifer Sue Thomas-Simmons, L.C.S.W.
• Amy Randall Thomas, LCSW
• Cynthia Anne Thomas, ARNP

• Interventional Pain Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.