Individual provider Active NPI

Thom Mayer, MD

  • Emergency Medicine Physician
  • Falls Church, VA
National Provider Identifier
1386739902
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101031908 Issued in VA
Practice address
3300 Gallows Rd
Falls Church, VA 22042
Phone
(703) 776-3111
Fax
(904) 346-0113
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101031908 VA Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042

Mailing address

PO Box 759101
Baltimore, MD 21275
Phone (703) 205-9790

Other identifiers 2

IdentifierTypeStateIssuer
930051778OtherVARAILROAD MEDICARE
5601410MedicaidVA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101031908VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bestpractices of West Virginia, Inc. Emergency Medicine PastSince Jun 1, 2006 Accepting new patients
Bestpractices of Northwest SC Emergency Medicine PastSince Jul 1, 2007 Accepting new patients
Bestpractices, Inc. Emergency Medicine Past Accepting new patients
Bestpractices of South Carolina, PC Emergency Medicine PastSince Nov 1, 2005 Accepting new patients
Bestpractices of North Carolina PC Emergency Medicine PastSince Jul 27, 2004 Accepting new patients
East PA Emergency Physicians, LLC Emergency Medicine PastSince Feb 1, 2013 Accepting new patients
Bestpractices, Inc. Emergency Medicine PastSince Jul 19, 1989 Accepting new patients
Bestpractices of Pennsylvania PC Emergency Medicine PastSince Jul 1, 2006 Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1386739902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21275",
            "telephone_number": "703-205-9790",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "703-776-3111",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "THOM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101031908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930051778",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5601410",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.