Individual provider Active NPI

Lauren Bates Thomas, PA-C

  • Physician Assistant
  • Dublin, OH
National Provider Identifier
1396384434
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006307RX Issued in OH
Practice address
5775 Perimeter Dr
Ste 200
Dublin, OH 43017
Phone
(614) 845-0418
Fax
(614) 389-3841
NPI assigned
Jan 6, 2020
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006307RX OH Primary

Addresses

Primary practice location

5775 Perimeter Dr
Ste 200
Dublin, OH 43017

Mailing address

5775 Perimeter Dr
Ste 200
Dublin, OH 43017
Phone (614) 845-0418

Other practice location 1

54 W High St Ste C
London, OH 43140-1093
Phone (740) 837-4334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221001782 OH Practitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 1951738434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohioderm Holding IncGroup PAC ID 3971950825, 6 clinicians

Practice addresses (Care Compare)

2200 Timber TRL
Bellefontaine, OH 43311-9039
Phone (937) 595-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal or shaving of skin growth40
Skin biopsy30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioderm Holding Inc. PastSince Sep 8, 2024 Accepting new patients
Ohioderm Holding Inc. PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 2

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1396384434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 PERIMETER DR",
            "address_2": "STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-845-0418",
            "fax_number": "614-389-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 PERIMETER DR",
            "address_2": "STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-845-0418",
            "fax_number": "614-389-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 W High St Ste C",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "431401093",
            "country_code": "US",
            "telephone_number": "740-837-4334",
            "fax_number": "740-422-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAUREN",
        "middle_name": "BATES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006307RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.