Active NPI
Clifton E. Thomas, MD, PA
- Surgery Physician
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- H8861
- Legal business name
- CLIFTON E. THOMAS, MD, PA
- Practice address
- 3460 NE Stallings Dr
Nacogdoches, TX 75965-8719 - Phone
- (936) 569-1889
- NPI assigned
- Jan 18, 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
- Clifton Edwin Thomas, MD
- Title
- Owner/Practitioner
- Phone
- (936) 569-1889
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | H8861 | TX | Primary |
Addresses
Primary practice location
3460 NE Stallings Dr
Nacogdoches, TX 75965-8719
Mailing address
3460 NE Stallings Dr
Nacogdoches, TX 75965-8719
Phone (936) 569-1889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154916401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Nacogdoches, TX
- NPI 1649252883
Member Of
Locations
3460 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 569-1889
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Nacogdoches, TX
- NPI 1538144779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1457537540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759658719",
"telephone_number": "936-569-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759658719",
"telephone_number": "936-569-1889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFTON E. THOMAS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "CLIFTON",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "936-569-1889",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "H8861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154916401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.