Thomas W Dillon, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137256 Issued in TX

Practice address

4360 Greco Dr
San Antonio, TX 78222

Phone

(210) 648-8200

Fax

(855) 392-7988

NPI assigned

May 9, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• M. Reza Mizani, M.D., P.a.

  dba South Texas Renal Care Group

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1275503393
  Medicare reassignment NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  TX

  Medicare reassignment NPD
• M. Reza Mizani, M.D., P.a.

  dba Total Vascular Care

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1740700111
  NPD
• Camino Real Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Livingston, TX
  • NPI 1992871966
  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1992843387
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1114416609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "844-630-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 GRECO DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78222",
            "telephone_number": "210-648-8200",
            "fax_number": "855-392-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERE ARE NO OTHER NUMBERS",
            "identifier": "00",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Dilley, M.D.
• Dilligas Corp. (U.S. Got People)
• Mandy Lee Dillinger, OTR/L
• Brian Dillon, M.D.
• Elisabeth Dillon
• Dilma C Ruiz MD PA (dilma ruiz-friel,md)
• Donald David Dilworth, M.D.
• Melissa Ann Dilworth, LPC-AT
• Anthony Dimaio
• Jacquelyn Dimanlig Agcaoili, PT

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.