Active NPI
Diana L. Thomas, MD, PHD
- Anatomic Pathology Physician
- Columbus, OH
National Provider Identifier
1215392618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 35134312
- Practice address
- 333 W 10TH Ave
Columbus, OH 43210 - Phone
- (614) 293-8881
- Fax
- (614) 293-5849
- NPI assigned
- Dec 29, 2015
- Last updated
- Aug 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MT204116 | PA | |
| Anatomic Pathology Physician | 207ZP0101X | 35134312 | OH | Primary |
Addresses
Primary practice location
333 W 10TH Ave
Columbus, OH 43210
Mailing address
700 Ackerman Rd Ste 570
Columbus, OH 43202-1579
Phone (614) 293-8375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0302209 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35134312 | OH | MD | Anatomic Pathology Physician |
| MT204116 | PA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Pathology Associates of Columbus Inc | Current | Accepting new patients |
Locations
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
700 Childrens Dr
#D651
Columbus, OH 43205
Phone (614) 722-5315
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Columbus, OH
- NPI 1700860962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1215392618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 570",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021579",
"telephone_number": "614-293-8375",
"fax_number": "614-293-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-293-8881",
"fax_number": "614-293-5849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DIANA",
"middle_name": "L.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": "MT204116",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "OH",
"license": "35134312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0302209",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.