Active NPI
T.K. Thomas, M.D.
- Internal Medicine Physician
- Southbridge, MA
National Provider Identifier
1457502171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35816
- Legal business name
- T.K. THOMAS, M.D.
- Practice address
- 495 Main Street
Southbridge, MA 01550 - Phone
- (508) 765-9855
- Fax
- (508) 764-6666
- NPI assigned
- Oct 1, 2008
- Last updated
- Oct 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- T K Thomas, MD
- Title
- President
- Phone
- (508) 765-9855
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35816 | MA | Primary |
| Gastroenterology Physician | 207RG0100X | 35816 | MA |
Addresses
Primary practice location
495 Main Street
Southbridge, MA 01550
Mailing address
PO Box 666
Southbridge, MA 01550
Phone (508) 765-9855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010038 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
495 Main St
Southbridge, MA 01550
Phone (508) 765-1005
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222819200000",
"number": "1457502171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 666",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "01550",
"telephone_number": "508-765-9855",
"fax_number": "508-764-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 MAIN STREET",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "01550",
"telephone_number": "508-765-9855",
"fax_number": "508-764-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T.K. THOMAS, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "T",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-765-9855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "35816",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "35816",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2010038",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.