Active NPI
Cory Thomas
- Driver
- South Euclid, OH
National Provider Identifier
1366273476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RU784953
- Practice address
- 1159 Avondale Rd
South Euclid, OH 44121-2924 - Phone
- (216) 544-1579
- NPI assigned
- Aug 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | RU784953 | OH | Primary |
Addresses
Primary practice location
1159 Avondale Rd
South Euclid, OH 44121-2924
Mailing address
1159 Avondale Rd
South Euclid, OH 44121-2924
Phone (216) 544-1579
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RU784953 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723248000000",
"number": "1366273476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 AVONDALE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212924",
"telephone_number": "216-544-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 AVONDALE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212924",
"telephone_number": "216-544-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CORY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-10",
"last_updated": "2024-08-10",
"certification_date": "2024-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RU784953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
- Lucia Chipo Taylor, NP-C
- Team Couture Behavioral Health Service
- The Choice Nursing and Home Health Services, Inc.
- The Endoscopy Center at Bainbridge, LLC
- Thebarbielabel
- Jennifer Thomas, LPN
- Rasheda Latrese Thomas, LPN
- Tisharah Antionette Thomas
- Christopher J Tighe, DPM
- William Phillip Tighe III, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.