Active NPI
Michaella Thomas, DO
- Surgery Physician
- Dayton, OH
National Provider Identifier
1245851138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 58.031694
- Practice address
- 1 Wyoming St
Dayton, OH 45409-2722 - Phone
- (937) 208-8000
- NPI assigned
- May 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 58.031694 | OH | Primary |
Addresses
Primary practice location
1 Wyoming St
Dayton, OH 45409-2722
Mailing address
128 E Apple St FL 7
Dayton, OH 45409-2902
Other practice location 1
4100 W 3rd St
Dayton, OH 45428-9000
Phone (937) 268-6511
Other practice location 2
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 257-0837
Other practice location 3
3535 Southern Blvd
Dayton, OH 45429-1221
Phone (937) 298-4331
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200514002800 | OH | Order and Referring Only - General Surgery | 7113358706 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1245851138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E APPLE ST FL 7",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-8000"
}
],
"practiceLocations": [
{
"address_1": "4100 W 3rd St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454289000",
"country_code": "US",
"telephone_number": "937-268-6511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4881 Sugar Maple Dr",
"address_purpose": "LOCATION",
"city": "Wright Patterson AFB",
"state": "OH",
"postal_code": "454335529",
"country_code": "US",
"telephone_number": "937-257-0837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-298-4331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAELLA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "58.031694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.