John Thomas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000438A Issued in IN

Practice address

821 N Dixon Rd
Kokomo, IN 46901-1754

Phone

(765) 452-0878

Fax

(765) 452-1826

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wagoner Medical Center, LLC

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1194940080
  NPD (past)
• Wagoner Medical Center, LLC

  • Family Medicine Physician
  • Burlington, IN
  • NPI 1457421497
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235258476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "BURLINGTON",
            "state": "IN",
            "postal_code": "469150038",
            "telephone_number": "765-452-0878",
            "fax_number": "765-452-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469011754",
            "telephone_number": "765-452-0878",
            "fax_number": "765-452-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000438A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Health and Hospital Corporation of Marion County
• The Oasis Counseling Center LLC
• The Serene Sanctuary LLC
• Muni K Theertham, MD
• Nicole Thiede, DPT
• Kaitlin Miranda Thomas, RBT
• Morgana C Thomas, MA, LMHC
• Charlotte Thompson
• Jessica Thompson
• Ronald A. Thompson Jr., D.D.S.

• Physician Assistant in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Physician Assistant in Indiana

• 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.

Verify at the official NPI Registry.