Active NPI
Erin Lee Thomas, PA-C
- Medical Physician Assistant
- Tampa, FL
National Provider Identifier
1184934390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9105522
- Practice address
- 16646 N. Dale Mabry Hwy
Tampa, FL 33618 - Phone
- (813) 908-5253
- Fax
- (813) 908-9100
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9105522 | FL | Primary |
Addresses
Primary practice location
16646 N. Dale Mabry Hwy
Tampa, FL 33618
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 780-1255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006339400 | Medicaid | FL | |
| P01117815 | Other | FL | R&R MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Clinic LLC | Past | Accepting new patients | |
| Florida Medical Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
dba Florida Medical Clinic Pharmacy
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1184934390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQ",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "813-780-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16646 N. DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "33618",
"telephone_number": "813-908-5253",
"fax_number": "813-908-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ERIN",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006339400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R&R MEDICARE",
"identifier": "P01117815",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.