Active NPI
Joseph F Thomas, D.P.M.
- Podiatrist
- Deltona, FL
National Provider Identifier
1417016692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 0001637
- Practice address
- 602 Deltona Blvd
Deltona, FL 32725 - Phone
- (386) 860-1402
- Fax
- (386) 860-0528
- NPI assigned
- Dec 6, 2006
- Last updated
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 0001637 | FL | Primary |
Addresses
Primary practice location
602 Deltona Blvd
Deltona, FL 32725
Mailing address
3165 McCrory PL Ste 174
Orlando, FL 32803-3727
Phone (407) 423-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59-3148379 | Other | TAX ID | |
| 65037 | Other | FL | BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1637 | FL | MD | Mental Health Counselor |
| PO 0001637 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph F Thomas DPM PA | Podiatrist | Current | Accepting new patients |
Locations
602 Deltona Blvd
Deltona, FL 32725
Phone (386) 860-1402
Interoperability endpoints
- joseph.thomas@ofac.directbygreenway.com
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.
-
- Podiatrist
- Orange City, FL
- NPI 1730667999
-
- Podiatric Clinic/Center
- Deltona, FL
- NPI 1184805699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1417016692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3165 MCCRORY PL STE 174",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033727",
"telephone_number": "407-423-1234",
"fax_number": "407-517-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 DELTONA BLVD",
"city": "DELTONA",
"state": "FL",
"postal_code": "32725",
"telephone_number": "386-860-1402",
"fax_number": "386-860-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JOSEPH",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 0001637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "59-3148379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "65037",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.