Terry L. Thomas, DO, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1747 Issued in WV

Legal business name

TERRY L. THOMAS, DO, PLLC

Practice address

2900 Emerson Ave
Parkersburg, WV 26104-2519

Phone

(304) 422-0172

Fax

(304) 422-0174

NPI assigned

Jun 2, 2008

Last updated

Jan 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry L Thomas, DO

Title

Owner

Phone

(304) 422-0172

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1346409760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042519",
            "telephone_number": "304-422-0172",
            "fax_number": "304-422-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042519",
            "telephone_number": "304-422-0172",
            "fax_number": "304-422-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L. THOMAS, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-422-0172",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012732",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.