Active NPI
Thomas Doncaster, D.O.
- Family Medicine Physician
- Williamsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02454
- Practice address
- 475 N Highway 25 W
Suite 100
Williamsburg, KY 40769-1576 - Phone
- (606) 549-2933
- Fax
- (606) 549-3036
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO0000001103 | TN | |
| Family Medicine Physician | 207Q00000X | 02454 | KY | Primary |
Addresses
Primary practice location
475 N Highway 25 W
Suite 100
Williamsburg, KY 40769-1576
Mailing address
PO Box 247
Jellico, TN 37762-0247
Phone (423) 784-0269
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3304309 | Medicaid | TN | |
| 64024540 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02454 | KY | MD | Family Medicine Physician |
| DO0000001103 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Jellico Community Hospital, Inc | Past | Accepting new patients | |
| Wynn Habersham Community Clinic Inc | Past | Accepting new patients |
Locations
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000
402 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-1660
Organizations & group practices 3
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
dba Care Plus Center
- Multi-Specialty Clinic/Center
- Willaimsburg, KY
- NPI 1407154800
-
- Rural Health Clinic/Center
- La Follette, TN
- NPI 1417093857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366530586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "JELLICO",
"state": "TN",
"postal_code": "377620247",
"telephone_number": "423-784-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 N HIGHWAY 25 W",
"address_2": "SUITE 100",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407691576",
"telephone_number": "606-549-2933",
"fax_number": "606-549-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONCASTER",
"first_name": "THOMAS",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO0000001103",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "02454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3304309",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64024540",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, KY
- David B Williams MD PSC
- Dayspring Auxiliary Services, LLC
- Dayspring Health Inc (Dayspring Dental)
- Dayspring Health Inc (Dayspring Dental)
- Dayspring Health, Inc. (Dayspring Regional Health Center)
- Veronica Maria Sanchez Dorton, DPT
- Brittany Sierra Dow
- Patricia Dozier
- Drive in Pharmacy Inc
- Drive in Pharmacy Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.