Roger Shawn Thomas, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01062643A Issued in IN

Practice address

81 MSGS/Sgcxe
Ophthalmology Clinic
Keesler Afb, MS 39540-2508

Phone

(228) 376-0452

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1447348958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MSGS/SGCXE",
            "address_2": "OPHTHALMOLOGY CLINIC",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395402508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MSGS/SGCXE",
            "address_2": "OPHTHALMOLOGY CLINIC",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395402508",
            "telephone_number": "228-376-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROGER",
        "middle_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01062643A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kody Lee Stroschein, DO
• Michael Struthers
• Jeffrey James Styskal, D.D.S.
• Nathan Shane Sumner, M.D.
• Benjamin Louis Ten Eyck, MD
• Mathew Ray Thompson, CRNA
• Rachel Tindal, MD
• Lea Marie Trush, MD
• Priscilla Tubbs, DO
• Rajesh Tuli, M.D.

• Ophthalmology Physician in Keesler Afb, MS
• Providers in Keesler Afb, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.

Verify at the official NPI Registry.