Active NPI
Thomas C. Thomas
- Family Medicine Physician
- Liberty, MO
National Provider Identifier
1407040132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28478
- Legal business name
- THOMAS C. THOMAS
- Practice address
- 110 Westwoods Dr
Liberty, MO 64068-1181 - Phone
- (816) 781-6127
- Fax
- (816) 792-2265
- NPI assigned
- Sep 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon E. Cox, CAPPM
- Title
- Practice Administrator
- Phone
- (816) 781-6127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28478 | MO | Primary |
Addresses
Primary practice location
110 Westwoods Dr
Liberty, MO 64068-1181
Mailing address
110 Westwoods Dr
Liberty, MO 64068-1181
Phone (816) 781-6127
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790787059 | Other | MO | NPI |
| 205285901 | Medicaid | MO | |
| 27479018 | Other | MO | BCBS |
Other names 1
- Harbor View Medical
National Provider Directory
National Provider DirectoryLocations
110 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-6127
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Ponte Vedra, FL
- NPI 1518969575
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1407040132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WESTWOODS DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681181",
"telephone_number": "816-781-6127",
"fax_number": "816-792-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WESTWOODS DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681181",
"telephone_number": "816-781-6127",
"fax_number": "816-792-2265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS C. THOMAS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "816-781-6127",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CAPPM"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "28478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790787059",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205285901",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27479018",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor View Medical",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.