John E Thomas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45960 Issued in WI

Practice address

1350 S Sunny Slope Rd
Sunnyslope Primary Care Clinic
Brookfield, WI 53005-7025

Phone

(414) 805-9600

Fax

(414) 805-9659

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 4, 2017 through Jul 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: john.thomas@25903944892420.direct.elationemr.com

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1124079876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S SUNNY SLOPE RD",
            "address_2": "SUNNYSLOPE PRIMARY CARE CLINIC",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057025",
            "telephone_number": "414-805-9600",
            "fax_number": "414-805-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S SUNNY SLOPE RD",
            "address_2": "SUNNYSLOPE PRIMARY CARE CLINIC",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057025",
            "telephone_number": "414-805-9600",
            "fax_number": "414-805-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "008806261N",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124079876",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Thiemke, PHD
• Thomas C. Kelley DDS MSD LLC
• Thomas J. Melin, M.D., S.C.
• Ellen Alexandra Thomas, PC-IT
• Jacob Dylan Thomas
• Kyla M L Thompson
• Michael A Thompson, LAT
• Rebecca Gabrielle Thompson, COTA
• Rebecca Lynn Thompson, PHD, BCBA-D
• Tess Thompson

• Family Medicine Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.