NPIMap

Individual provider Active NPI

Alan W Thomas, MD

  • Hematology & Oncology Physician
  • Missoula, MT
National Provider Identifier
1548297468
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
8522 Issued in MT
Practice address
500 W Broadway St
Missoula, MT 59802-4008
Phone
(406) 728-2539
Fax
(406) 728-2709
NPI assigned
Jun 27, 2006
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 8522 MT Primary

Addresses

Primary practice location

500 W Broadway St
Missoula, MT 59802-4008

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 327-1918

Other practice location 1

6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203001067 MT Practitioner - Medical Oncology 9638062755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Arizona College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-5828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8522MTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Jul 1, 2013 Accepting new patients
Credena Health LLC CurrentSince Jul 1, 2023 Accepting new patients
Montana Cancer Specialists PC Hematology & Oncology Current Accepting new patients
Providence Health & Services Mt CurrentSince Jul 1, 2013 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Providence St Joseph Medical Center CurrentSince Jul 1, 2023 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Aug 20, 2017 Accepting new patients
Providence Health & Services Mt Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2831 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3819

2831 Fort Missoula Rd
Ste 1PM
Missoula, MT 59804
Phone (406) 728-6557

2837 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-3911

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1548297468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "406-327-1918",
            "fax_number": "406-549-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-728-2539",
            "fax_number": "406-728-2709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 13th Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605315",
            "country_code": "US",
            "telephone_number": "406-883-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MT",
            "license": "8522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.