Organization Active NPI

C. Thommen Thomas, M.D., P.a.

  • Gastroenterology Physician
  • Brandon, FL
National Provider Identifier
1285938290
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0042260 Issued in FL
Legal business name
C. THOMMEN THOMAS, M.D., P.A.
Practice address
165 W Robertson St
Brandon, FL 33511-5111
Phone
(813) 685-9693
Fax
(813) 685-9774
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Chempakanallore Thommen Thomas, M.D.
Title
President
Phone
(813) 685-9693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME0042260 FL Primary

Addresses

Primary practice location

165 W Robertson St
Brandon, FL 33511-5111

Mailing address

165 W Robertson St
Brandon, FL 33511-5111
Phone (813) 685-9693

Other identifiers 1

IdentifierTypeStateIssuer
068619100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1285938290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115111",
            "telephone_number": "813-685-9693",
            "fax_number": "813-685-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115111",
            "telephone_number": "813-685-9693",
            "fax_number": "813-685-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. THOMMEN THOMAS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHEMPAKANALLORE",
        "authorized_official_middle_name": "THOMMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-685-9693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0042260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068619100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.