Maxine J. Thomas MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAXINE J. THOMAS MD PA

Practice address

4725 Wellington Street
Greenville, TX 75401

Phone

(903) 450-9120

Fax

(903) 450-9706

NPI assigned

Jul 20, 2010

Last updated

Jul 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maxine I Thomas

Title

Owner

Phone

(903) 450-9120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maxine J Thomas, MD

  • Family Medicine Physician
  • Greenville, TX
  • NPI 1619986338
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1437462488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8645",
            "address_2": "GREENVILLE",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-450-9120",
            "fax_number": "903-450-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 WELLINGTON STREET",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-450-9120",
            "fax_number": "903-450-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE J. THOMAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-450-9120"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Martin, LMT
• Sloane Martin, PT
• Sonya Dawnelle Massey, FNP
• William J Mast, FNP-C
• Lauren Matewe, MS,RN,FNP-C
• Mary Maxwell, DPT
• Beverly Lynn Mayo, FNP-C
• McConnell Orthopedic Clinic.P.a.
• John Carroll McConnell, M.D.
• Dee G McCrary Jr., MD

• Family Medicine Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.