Organization Active NPI

Philip R Thomas MD., LTD

  • Legal Medicine
  • Suffolk, VA
National Provider Identifier
1366770547
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
0101011438 Issued in VA
Legal business name
PHILIP R THOMAS MD., LTD
Practice address
112 Kings Hwy
Suffolk, VA 23432-1117
Phone
(757) 255-4224
Fax
(757) 255-4124
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Philip R Thomas
Title
Physician
Phone
(757) 255-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 0101011438 VA Primary

Addresses

Primary practice location

112 Kings Hwy
Suffolk, VA 23432-1117

Mailing address

112 Kings Hwy
PO Box 2068
Suffolk, VA 23432-1117
Phone (757) 255-4224

Other identifiers 2

IdentifierTypeStateIssuer
5613311MedicaidVA
178791OtherVAATHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1366770547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KINGS HWY",
            "address_2": "PO BOX 2068",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321117",
            "telephone_number": "757-255-4224",
            "fax_number": "757-255-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KINGS HWY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321117",
            "telephone_number": "757-255-4224",
            "fax_number": "757-255-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R THOMAS MD., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-255-4224"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "VA",
            "license": "0101011438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5613311",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM",
            "identifier": "178791",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.