Active NPI
Harold C Thomas, MD
- Emergency Medicine Physician
- Glen Burnie, MD
National Provider Identifier
1396721072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD17569
- Practice address
- 301 Hospital Drve
Glen Burnie, MD 21061 - Phone
- (410) 787-4394
- Fax
- (410) 787-4304
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD17569 | DC | Primary |
Addresses
Primary practice location
301 Hospital Drve
Glen Burnie, MD 21061
Mailing address
600 Juneberry CT
Bowie, MD 20721-7242
Phone (301) 249-2795
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009 DC | Other | DC | BLUECROSS BLUESHIELD |
| 60238401 | Other | MD | BLUE SHIELD |
| J8740001 | Other | MD | FEDERAL EMPLOYEE PROGRAM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17569 | DC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Washington Emergency Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Atlantic Physician Services of Maryland, PC | Past | Accepting new patients | |
| National Emergency Services District of Columbia Inc | Emergency Medicine | Past | Accepting new patients |
Locations
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
Interoperability endpoints
- hthomas24222@direct.umm.edu
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Glen Burnie, MD
- NPI 1215983853
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1588655963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1396721072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JUNEBERRY CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207217242",
"telephone_number": "301-249-2795",
"fax_number": "301-249-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HOSPITAL DRVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "410-787-4394",
"fax_number": "410-787-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "HAROLD",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DC",
"license": "MD17569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "0009 DC",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "60238401",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL EMPLOYEE PROGRAM",
"identifier": "J8740001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.