NPIMap

Individual provider Active NPI

Richard D Thomas, MD

  • Orthopaedic Surgery of the Spine Physician
  • Tulsa, OK
National Provider Identifier
1366410441
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
20842 Issued in OK
Practice address
4802 S 109TH East Ave
Tulsa, OK 74146-5822
Phone
(918) 392-1400
Fax
(918) 392-1488
NPI assigned
Mar 14, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 20842 OK Primary

Addresses

Primary practice location

4802 S 109TH East Ave
Tulsa, OK 74146-5822

Mailing address

4802 S 109TH E Ave
Tulsa, OK 74146
Phone (918) 392-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000714 OK Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8527003730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

8803 S 101St E Ave
Suite 130
Tulsa, OK 74133-5728
Phone (918) 574-0220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion60
Laminectomy or laminotomy (partial removal of spine bones)21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Bone & Joint Associates PC Orthopaedic Surgery of the Spine CurrentSince Aug 11, 2003 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
Tulsa Spine & Specialty Hospital Past Accepting new patients
Osu Health System Anesthesia Past Accepting new patients

Locations

1501 N Florence Ave
Ste 350
Claremore, OK 74017
Phone (918) 343-8574

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513

8803 S 101st East Ave
Ste 130
Tulsa, OK 74133
Phone (918) 459-0027

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
  • Direct secure messaging: richard.thomas@direct.stjohnhealthsystem.com
  • Direct secure messaging: richard.thomas@tbja.gwaydirect.com
  • Direct secure messaging: rthomas113451@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tulsa Spine Hospital LLCTulsa, OK, CCN 370216 Hospital Corporate Director Jun 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1366410441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 S 109TH E AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74146",
            "telephone_number": "918-392-1400",
            "fax_number": "918-392-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465822",
            "telephone_number": "918-392-1400",
            "fax_number": "918-392-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OK",
            "license": "20842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.