Individual provider Active NPI

Jon V. Thomas, M.D.

  • Otolaryngology Physician
  • River Falls, WI
National Provider Identifier
1467453597
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
32769 Issued in MN
Practice address
1687 E Division St
River Falls, WI 54022-1571
Phone
(715) 425-6701
NPI assigned
Aug 10, 2005
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 32769 MN Primary

Addresses

Primary practice location

1687 E Division St
River Falls, WI 54022-1571

Mailing address

720 Washington Ave SE Ste 300
Minneapolis, MN 55414-2904
Phone (612) 672-7422

Other identifiers 8

IdentifierTypeStateIssuer
1028100OtherMNMEDICA CHOICE
1000216OtherMNPREFERREDONE
1000010OtherMNMEDICA PRIMARY
20852OtherMNAMERICA'S PPO
102389OtherMNUCARE
31933200OtherWIMEDICAID - WISCONSIN
38T56THOtherMNBLUE SHIELD
608795700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100504000272 MN Practitioner - Otolaryngology 0547289787 Reassigns benefits to 6 organizations
I20100831000705 WI Practitioner - Otolaryngology 0547289787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast St. John's Hospital CurrentSince Nov 2, 2019 Accepting new patients
Ear Nose & Throat Specialty Care of Minnesota PA Otolaryngology CurrentSince Jan 20, 2015 Accepting new patients
Western Wisconsin Medical Associates CurrentSince Jan 1, 1997 Accepting new patients
Fairview Express Care CurrentSince Nov 21, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 20, 2015 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Dec 21, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Dec 21, 2019 Accepting new patients
Fairview Express Care CurrentSince Nov 21, 2019 Accepting new patients

Locations

9550 Upland Ln N
Ste 200
Maple Grove, MN 55369
Phone (612) 871-1144

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2211 Park Ave
Minneapolis, MN 55404
Phone (612) 871-1144

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

347 Smith Ave N
Ste 602
Saint Paul, MN 55102
Phone (651) 227-0821

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

6099 Wayzata Blvd
Ste 200
St Louis Park, MN 55416
Phone (612) 871-1144

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

144 S Plum St
Ellsworth, WI 54011
Phone (715) 273-5041

319 S Main St
River Falls, WI 54022
Phone (715) 425-6701

1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1467453597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON AVE SE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142904",
            "telephone_number": "612-672-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 E DIVISION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221571",
            "telephone_number": "715-425-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JON",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "32769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "1028100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1000216",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "1000010",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "20852",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "102389",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - WISCONSIN",
            "identifier": "31933200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "38T56TH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608795700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

Verify at the official NPI Registry.