Individual provider Active NPI

James Edward Thomas Jr., M.D.

  • Family Medicine Physician
  • Shonto Community Post Office, AZ
National Provider Identifier
1548263957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29991 Issued in NC
Practice address
Inscription House Health Center
Shonto Community Post Office, AZ 86054-7397
Phone
(928) 672-3000
Fax
(928) 672-3005
NPI assigned
May 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29991 NC Primary

Addresses

Primary practice location

Inscription House Health Center
Shonto Community Post Office, AZ 86054-7397

Mailing address

PO Box 7397
Shonto Community Post Office, AZ 86054-7397
Phone (928) 672-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000408 TX Practitioner - Family Practice 6103940226 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29991NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital CurrentSince Jul 1, 2001 Accepting new patients
Kayenta Alternative Rural Hospital Current Accepting new patients
DHHS Naihs PHS Inscription House Health Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548263957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7397",
            "city": "SHONTO COMMUNITY POST OFFICE",
            "state": "AZ",
            "postal_code": "860547397",
            "telephone_number": "928-672-3000",
            "fax_number": "928-672-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INSCRIPTION HOUSE HEALTH CENTER",
            "city": "SHONTO COMMUNITY POST OFFICE",
            "state": "AZ",
            "postal_code": "860547397",
            "telephone_number": "928-672-3000",
            "fax_number": "928-672-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.