Individual provider Active NPI

Charles A Thoman Jr., M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Ocala, FL
National Provider Identifier
1518971175
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Surgery) PhysicianTaxonomy code 2086H0002X
License
ME11360 Issued in FL
Practice address
3231 SW 34TH Ave.
Ocala, FL 34478-4860
Phone
(352) 873-7400
Fax
(352) 873-7435
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0011360 FL
Hospice and Palliative Medicine (Surgery) Physician 2086H0002X ME11360 FL Primary

Addresses

Primary practice location

3231 SW 34TH Ave.
Ocala, FL 34478-4860

Mailing address

3231 SW 34TH Ave
P.O. Box 4860
Ocala, FL 34474-8489
Phone (352) 873-7400

Other identifiers 2

IdentifierTypeStateIssuer
048346000MedicaidFL
05260OtherFLUNSPECIFIED

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

LicenseStateTypeSpecialty
ME11360FLMDHospice and Palliative Medicine (Surgery) Physician
0011360FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Ocala LLC Urology 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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1518971175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 SW 34TH AVE",
            "address_2": "P.O. BOX 4860",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344748489",
            "telephone_number": "352-873-7400",
            "fax_number": "352-873-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SW 34TH AVE.",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344784860",
            "telephone_number": "352-873-7400",
            "fax_number": "352-873-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAN",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "0011360",
            "primary": false
        },
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME11360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048346000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "05260",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.