Organization Active NPI

Mark H. Thomas

  • Addiction Medicine (Family Medicine) Physician
  • Trotwood, OH
National Provider Identifier
1164636841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
350 51593 Issued in OH
Legal business name
MARK H. THOMAS
Practice address
2580 Shiloh Springs Rd
Suite B
Trotwood, OH 45426-2151
Phone
(937) 837-5171
Fax
(937) 854-0400
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark H. Thomas, M.D.
Title
Owner
Phone
(937) 837-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 350 51593 OH Primary

Addresses

Primary practice location

2580 Shiloh Springs Rd
Suite B
Trotwood, OH 45426-2151

Mailing address

2580 Shiloh Springs Rd
Suite B
Trotwood, OH 45426-2151
Phone (937) 837-5171

Other identifiers 1

IdentifierTypeStateIssuer
0685585MedicaidOH

Other names 1

  • Family First Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

2580 Shiloh Springs Rd
Ste B
Trotwood, OH 45426
Phone (937) 529-4376

2580 Shiloh Springs Rd
#8
Trotwood, OH 45426
Phone (937) 837-5171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164636841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 SHILOH SPRINGS RD",
            "address_2": "SUITE B",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262151",
            "telephone_number": "937-837-5171",
            "fax_number": "937-854-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 SHILOH SPRINGS RD",
            "address_2": "SUITE B",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262151",
            "telephone_number": "937-837-5171",
            "fax_number": "937-854-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-837-5171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "350 51593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trotwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.