Active NPI
Gail Elizabeth Thomas, MD
- Surgery Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G071045
- Practice address
- 324 Hickory BND
Belleville, IL 62223-3474 - Phone
- (618) 604-9926
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G071045 | CA | Primary |
| Surgical Oncology Physician | 2086X0206X | G071045 | CA | |
| Surgical Oncology Physician | 2086X0206X | 30439 | SC | |
| Surgical Oncology Physician | 2086X0206X | 256245 | NY | |
| Family Medicine Physician | 207Q00000X | G071045 | CA |
Addresses
Primary practice location
324 Hickory BND
Belleville, IL 62223-3474
Mailing address
324 Hickory BND
Belleville, IL 62223-3474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8157 | Other | SC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71045 | CA | MD | Pharmacist |
| G071045 | CA | MD | Surgical Oncology Physician |
| 30439 | SC | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers Inc | Current | Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Santa Barbara County Auditor | Current | Accepting new patients | |
| Poarch Band of Creek Indians | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Passamaquoddy Tribal Council | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients |
Locations
5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136
301 N R St
Lompoc, CA 93436
Phone (805) 737-6400
300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Federally Qualified Health Center (FQHC)
- Pleasant Point, ME
- NPI 1760474613
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1134162613
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1659435279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1275733016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 HICKORY BND",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622233474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 HICKORY BND",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622233474",
"telephone_number": "618-604-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GAIL",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G071045",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "G071045",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "SC",
"license": "30439",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "256245",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G071045",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8157",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.