Keith D Thomas, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01044112A Issued in IN

Practice address

811 E Parrish Ave
Owensboro, KY 42303-3258

Phone

(270) 684-5005

Fax

(270) 926-4432

NPI assigned

May 12, 2006

Last updated

May 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lawrence County Memorial Hospital

  • Critical Access Hospital
  • Lawrenceville, IL
  • NPI 1386744795
  NPD (past)
• Mohamed Hytham I Beck MD

  • Surgery Physician
  • Princeton, IN
  • NPI 1699908087
  NPD (past)
• Princeton Clinic LLC

  • Surgery Physician
  • Princeton, IN
  • NPI 1790021194
  NPD (past)
• Southern Illinois Anesthesia LTD

  • Anesthesiology Physician
  • Princeton, IN
  • NPI 1932145000
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1295785822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE",
            "address_2": "STE 460",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033222",
            "telephone_number": "270-684-5005",
            "fax_number": "270-926-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033258",
            "telephone_number": "270-684-5005",
            "fax_number": "270-926-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01044112A",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01044112A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000683152",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200047560",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360915761",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000067774",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050040838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theratree, LLC.
• Kathy A Thiesse, APRN
• Alyssa Thomas
• Barbara Edwards Thomas, PTA
• James Randall Thomas, MD
• Merritt Bates Thomas, REGISTERED DIETITIAN
• Joan Thomason, LCSW
• Thompson Family Dentistry
• Andrew Emberger Thompson, D.M.D.
• David C Thompson, D.M.D.

• Anesthesiology Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Anesthesiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.