Individual provider Active NPI

James N Thomas, DO

  • Emergency Medicine Physician
  • Belleville, IL
National Provider Identifier
1316915218
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.122109 Issued in IL
Practice address
211 S 3Rd St
Belleville, IL 62220-1915
Phone
(618) 234-2120
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34004540 OH
Emergency Medicine Physician 207P00000X 036.122109 IL Primary

Addresses

Primary practice location

211 S 3Rd St
Belleville, IL 62220-1915

Mailing address

1305 Lantern Lights Cir
Lebanon, IL 62254-1842
Phone (618) 628-1982

Other identifiers 2

IdentifierTypeStateIssuer
036122109 4MedicaidIL
0766443MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090130000399 IL Practitioner - Emergency Medicine 1153495957 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4540OHMDChiropractor
036.122109ILMDEmergency Medicine Physician
34004540OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Sparta, Inc Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Midwest Emergency Anderson Health, Inc Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Midwest Emergency Good Samaritan, Inc Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients
Salem Township Hospital CurrentSince Oct 25, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Emergency Medicine CurrentSince Jul 15, 2009 Accepting new patients
Salem Township Hospital CurrentSince Oct 25, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jul 15, 2009 Accepting new patients
Memorial Hospital Current Accepting new patients
Midwest Emergency Management Ohio, Inc Emergency Medicine Past Accepting new patients
New Century Physicians of Southern Illinois Inc Emergency Medicine Past Accepting new patients
Mount Vernon Emergency Group PC Emergency Medicine Past Accepting new patients
Salem Township Hospital Past Accepting new patients
Ohio Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1900 State St
Chester, IL 62233
Phone (618) 826-2388

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1316915218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 LANTERN LIGHTS CIR",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541842",
            "telephone_number": "618-628-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 3RD ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201915",
            "telephone_number": "618-234-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAMES",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34004540",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.122109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122109 4",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.