Charles W. Thomas, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

10747R Issued in LA

Practice address

1200 Avenue G
Marrero, LA 70072-3765

Phone

(504) 349-6713

Fax

(504) 349-6733

NPI assigned

Jun 17, 2005

Last updated

Jul 8, 2016By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

General Surgery

Education

Louisiana State University School of Medicine in New Orleans, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Surgical Specialists, LLCGroup PAC ID 0547156937, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Surgical Specialists, LLC

  • Surgery Physician
  • Marrero, LA
  • NPI 1245235274
  Medicare reassignment Care Compare group NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428

  Surgery

  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba McFarlin Bldg - Ochsner Baptist

  • General Practice Physician
  • New Orleans, LA
  • NPI 1922278803
  NPD
• Haydel Medical & Pain Center LLC

  • Interventional Pain Medicine Physician
  • Luling, LA
  • NPI 1538501994
  NPD (past)
• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1326043084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AVENUE G",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723765",
            "telephone_number": "504-834-0626",
            "fax_number": "504-833-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AVENUE G",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723765",
            "telephone_number": "504-349-6713",
            "fax_number": "504-349-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "10747R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08251588",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1996351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Gotfrey Thirstrup, MD
• Pamela Thomas Augustus
• Thomas M Irwin Jr MD John G Kimble MD Apmc
• Thomas P Melancon MD LLC
• Brandy Elizabeth Thomas, MHS, LRC, CRC
• Lashante' Thomas, MENTAL HEALTH
• Morgan Thomas, PT, DPT
• Peggy Ann Thomas, PA-C
• Schontakelle Thomas
• Aaron D Thompson, MD

• Surgery Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.