Active NPI
Dylan Thomas
- Emergency Medicine Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 58.033017
- Practice address
- 8401 Market St
Boardman, OH 44512-6725 - Phone
- (330) 729-2929
- NPI assigned
- Apr 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 58.033017 | OH | Primary |
Addresses
Primary practice location
8401 Market St
Boardman, OH 44512-6725
Mailing address
80 Washington Blvd Apt 4
Boardman, OH 44512-6346
Phone (330) 718-4256
Other practice location 1
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 746-7211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568946544 | Other | BCBS | |
| 236 | Medicaid | OH | |
| 5874 | Other | HEALTH PARTNERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | securerecords.sanford.html |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (240) 686-2300
6252 Mahoning Ave
Austintown, OH 44515-2003
Phone (240) 686-2300
667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000
8401 Market St
Boardman, OH 44512-6725
Phone (240) 686-2300
Hospital & facility affiliations
- MH St Joseph Warren Hospital
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.033017 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4M Emergency Systems Tod LLC | Emergency Medicine | Current | Accepting new patients |
| 4M Emergency Systems LLC | Emergency Medicine | Current | Accepting new patients |
| Mahoning Valley Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Mves Boardman LLC | Emergency Medicine | Current | Accepting new patients |
| Mves Austintown LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418
Interoperability endpoints
- dthomas225101@direct.bsmhealth.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1932152584
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1003869652
-
- Emergency Medicine Physician
- Austintown, OH
- NPI 1972555944
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1205888237
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1902859556
-
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1235870700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WASHINGTON BLVD APT 4",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126346",
"telephone_number": "330-718-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126725",
"telephone_number": "330-729-2929"
}
],
"practiceLocations": [
{
"address_1": "1044 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041006",
"country_code": "US",
"telephone_number": "330-746-7211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "DYLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-06",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "58.033017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "568946544",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "5874",
"state": null
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "8401 Market St",
"city": "Boardman",
"state": "OH",
"country_code": "US",
"postal_code": "445126725",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.