Individual provider Active NPI

Zorina Michelle Thomas, PA-C

  • Medical Physician Assistant
  • Germantown, MD
National Provider Identifier
1194972471
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085003167 Issued in IL
Practice address
19785 Crystal Rock Drive
Suite 209
Germantown, MD 20874
Phone
(301) 515-2901
Fax
(301) 515-5950
NPI assigned
Aug 19, 2008
Last updated
Apr 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085003167 IL Primary

Addresses

Primary practice location

19785 Crystal Rock Drive
Suite 209
Germantown, MD 20874

Mailing address

19785 Crystal Rock Drive
Suite 209
Germantown, MD 20874
Phone (301) 515-2901

Other identifiers 1

IdentifierTypeStateIssuer
085003167OtherILILLINOIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20210113002474 MD Practitioner - Physician Assistant 1153488200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Dec 8, 2020 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Dec 8, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Matrix House Physicians PA Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1194972471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DRIVE",
            "address_2": "SUITE 209",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "301-515-2901",
            "fax_number": "301-515-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DRIVE",
            "address_2": "SUITE 209",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "301-515-2901",
            "fax_number": "301-515-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ZORINA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS",
            "identifier": "085003167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.