Thomas R Masters DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005118L Issued in PA

Legal business name

THOMAS R MASTERS DO

Practice address

2828 Sterrettania Rd
Erie, PA 16506-3050

Phone

(814) 833-9700

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Thomas R MastersNPI 1437123981

Title

Physician Owner

Phone

(814) 835-5259

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas R Masters, D.O.

  • Family Medicine Physician
  • Erie, PA
  • NPI 1437123981
  NPD (past) Authorized official

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1346619145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063050",
            "telephone_number": "814-833-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R MASTERS DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "814-835-5259"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005118L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009248520011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Theuerkauf, MS. NCC.
• Sarah Thide
• Margrethe Thiesen
• Edward Alfred Thiry III, LSW, CAC
• Thomas F. Matta, PH.D., Inc.
• G Renee Thomas-Clark, DO
• Anna Thomas, PHDHP
• Cecil Veloor Thomas, D.O.
• Donna Thomas
• James Joseph Thomas Jr., MD

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.