Organization Active NPI

Michelle Thomas MD

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1467693010
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MICHELLE THOMAS MD
Practice address
3340 Providence Dr
Ste 359
Anchorage, AK 99508-4627
Phone
(907) 644-1033
Fax
(907) 644-0764
NPI assigned
Mar 11, 2009
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Michelle Pao Thomas, MDNPI 1578575650
Title
Owner
Phone
(907) 644-1033

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)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

3340 Providence Dr
Ste 359
Anchorage, AK 99508-4627

Mailing address

3340 Providence Dr
Ste 359
Anchorage, AK 99508-4627
Phone (907) 644-1033

Other identifiers 1

IdentifierTypeStateIssuer
MD2563 AKMedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000099 AK Part B Supplier - Clinic/Group Practice 2163667478 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3340 Providence Dr
Ste 359
Anchorage, AK 99508
Phone (907) 644-1033

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": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467693010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR",
            "address_2": "STE 359",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084627",
            "telephone_number": "907-644-1033",
            "fax_number": "907-644-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR",
            "address_2": "STE 359",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084627",
            "telephone_number": "907-644-1033",
            "fax_number": "907-644-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE THOMAS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "PAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-644-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2563 AK",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.