NPIMap

Individual provider Active NPI

Michael M Thomas, PAC

  • Medical Physician Assistant
  • Temple, TX
National Provider Identifier
1417007758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03252 Issued in TX
Practice address
7010 W Adams Ave Ste 200
Temple, TX 76502-5550
Phone
(254) 228-1400
Fax
(254) 228-1401
NPI assigned
Jan 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03252 TX
Medical Physician Assistant 363AM0700X PA03252 TX Primary
Emergency Medicine Physician 207P00000X PA03252 TX

Addresses

Primary practice location

7010 W Adams Ave Ste 200
Temple, TX 76502-5550

Mailing address

7010 W Adams Ave Ste 200
Temple, TX 76502-5550
Phone (254) 228-1400

Other practice location 1

713 E Anderson St
Weatherford, TX 76086-5705
Phone (682) 582-1400

Other practice location 2

3000 Herring Ave
Waco, TX 76708-3239
Phone (254) 202-9414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000278 TX Practitioner - Physician Assistant 2466528674 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03252TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Aug 8, 2018 Accepting new patients
Legacy Urgent Care, PA CurrentSince Apr 19, 2023 Accepting new patients
Parker Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Locations

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

7010 W Adams Ave
Ste 200
Temple, TX 76502
Phone (254) 228-1200

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Interoperability endpoints

  • Direct secure messaging: mthomas468483@ahs.direct-ci.com

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417007758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 W ADAMS AVE STE 200",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025550",
            "telephone_number": "254-228-1400",
            "fax_number": "254-228-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 W ADAMS AVE STE 200",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025550",
            "telephone_number": "254-228-1400",
            "fax_number": "254-228-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 E Anderson St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865705",
            "country_code": "US",
            "telephone_number": "682-582-1400",
            "fax_number": "817-599-1826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Herring Ave",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767083239",
            "country_code": "US",
            "telephone_number": "254-202-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03252",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03252",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "PA03252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.