Active NPI
David S Thomas, MD PA
- Radiation Oncology Physician
- Sylva, NC
National Provider Identifier
1336288166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 9600751
- Practice address
- 14 Medical Park Loop
Sylva, NC 28779-5221 - Phone
- (828) 586-7610
- Fax
- (828) 586-7615
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9600751 | NC | |
| Medical Oncology Physician | 207RX0202X | 9600751 | NC | |
| Radiation Oncology Physician | 2085R0001X | 9600751 | NC | Primary |
Addresses
Primary practice location
14 Medical Park Loop
Sylva, NC 28779-5221
Mailing address
PO Box 2128
14 Medical Park Loop
Sylva, NC 28779-2128
Phone (828) 586-7610
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011T7 | Other | BCBS OF NC | |
| 8982549 | Medicaid | NC | |
| 89011T7 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9600751 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1336288166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2128",
"address_2": "14 MEDICAL PARK LOOP",
"city": "SYLVA",
"state": "NC",
"postal_code": "287792128",
"telephone_number": "828-586-7610",
"fax_number": "828-586-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MEDICAL PARK LOOP",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795221",
"telephone_number": "828-586-7610",
"fax_number": "828-586-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DAVID",
"middle_name": "S",
"credential": "MD PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9600751",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "9600751",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "9600751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "011T7",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8982549",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89011T7",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.