Active NPI
Theodosia Thoma, M.D.
- Pediatric Pulmonology Physician
- Iowa City, IA
National Provider Identifier
1447506217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- MD-44857
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242 - Phone
- (319) 356-1828
- Fax
- (319) 356-7776
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 281087 | NY | |
| Pediatrics Physician | 208000000X | MD-44857 | IA | |
| Pediatric Pulmonology Physician | 2080P0214X | MD-44857 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1828
Other practice location 1
3959 Broadway # Chc701
New York, NY 10032-1559
Phone (212) 305-5122
Other practice location 2
920 E 2nd Ave Ste 201A&b
Coralville, IA 52241-2219
Phone (319) 467-2000
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281087 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1760444822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1447506217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-1828",
"fax_number": "319-356-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-1828",
"fax_number": "319-356-7776"
}
],
"practiceLocations": [
{
"address_1": "3959 Broadway # Chc701",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100321559",
"country_code": "US",
"telephone_number": "212-305-5122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 E 2nd Ave Ste 201A&b",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522412219",
"country_code": "US",
"telephone_number": "319-467-2000",
"fax_number": "319-467-2410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMA",
"first_name": "THEODOSIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "281087",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "MD-44857",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "IA",
"license": "MD-44857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.