Active NPI
Nathan B Thomas, DPM
- Foot & Ankle Surgery Podiatrist
- Missoula, MT
National Provider Identifier
1245243807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 146
- Practice address
- 110 South Ave West
Missoula, MT 59801 - Phone
- (406) 542-2108
- Fax
- (406) 542-2195
- NPI assigned
- Aug 14, 2006
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 146 | MT | Primary |
Addresses
Primary practice location
110 South Ave West
Missoula, MT 59801
Mailing address
110 South Ave West
Missoula, MT 59801
Phone (406) 542-2108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0390320 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 S Ave W
Missoula, MT 59801-8116
Phone (406) 542-2108
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of nail tissue | 351 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Foot & Ankle Center LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
505 W Park St
Butte, MT 59701
Phone (406) 299-2655
1100 Hollenbeck Ln
Deer Lodge, MT 59722
Phone (406) 846-1722
110 South Ave W
Missoula, MT 59801
Phone (406) 542-2108
Interoperability endpoints
- nthomas@afaacl-mt.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Missoula, MT
- NPI 1477891265
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1245243807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SOUTH AVE WEST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59801",
"telephone_number": "406-542-2108",
"fax_number": "406-542-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SOUTH AVE WEST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59801",
"telephone_number": "406-542-2108",
"fax_number": "406-542-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "NATHAN",
"middle_name": "B",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MT",
"license": "146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0390320",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.