Mari K Thomas, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8386 Issued in FL

Practice address

4 Riverhurst Rd Apt 203
Billerica, MA 01821-3479

Phone

(850) 832-6470

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Department of Health

  • Federal Public Health Clinic/Center
  • Bristol, FL
  • NPI 1629259940
  NPD (past)
• Healthflo Medical Clinics Inc

  • Rural Health Clinic/Center
  • Ridge Manor, FL
  • NPI 1164568275
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2013.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1215930698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVERHURST RD APT 203",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213479",
            "telephone_number": "850-832-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIVERHURST RD APT 203",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213479",
            "telephone_number": "850-832-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "225715",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263822300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "15670",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jane Taggart, DPT
• Ankesh Tailor, PHARMD
• Dennis Lee Tamis, PTA
• Sarah Tanner, MA
• Marcia Tappin-Miller, RN
• Wayne Edward Thompson Jr.
• Town of Billerica
• Town of Billerica
• Town of Billerica
• Town of Billerica

• All providers in Billerica, MA
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.

Verify at the official NPI Registry.