Active NPI
Keith Jay Thomas, M.D.
- Surgery Physician
- John Day, OR
National Provider Identifier
1184792509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD26271
- Practice address
- 170 Ford Rd
John Day, OR 97845-2009 - Phone
- (541) 575-1311
- NPI assigned
- Dec 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD26271 | OR | Primary |
| Surgery Physician | 208600000X | C51666 | CA |
Addresses
Primary practice location
170 Ford Rd
John Day, OR 97845-2009
Mailing address
PO Box 5
John Day, OR 97845-0005
Phone (541) 575-0499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027967 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51666 | CA | MD | Surgery Physician |
| MD26271 | OR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184792509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "JOHN DAY",
"state": "OR",
"postal_code": "978450005",
"telephone_number": "541-575-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 FORD RD",
"city": "JOHN DAY",
"state": "OR",
"postal_code": "978452009",
"telephone_number": "541-575-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KEITH",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD26271",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C51666",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027967",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in John Day, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.