Radcliffe M Thomas MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D42683 Issued in MD

Legal business name

RADCLIFFE M THOMAS MD PA

Practice address

4000 W Northern Pkwy
Baltimore, MD 21215-4473

Phone

(410) 542-7700

Fax

(410) 542-4706

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Radcliffe M Thomas, MDNPI 1558337618

Title

President

Phone

(410) 542-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Radcliffe Thomas

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1558337618
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1568535326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154473",
            "telephone_number": "410-542-7700",
            "fax_number": "410-542-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154473",
            "telephone_number": "410-542-7700",
            "fax_number": "410-542-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADCLIFFE M THOMAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RADCLIFFE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-542-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D42683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204571100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Claire Racusen, M.D.
• Ricsoon Lester Phi Radam, M.D.
• Radamerica II LLC
• Radcare of Maryland PC
• Mary Catherine Radcliff, ARNP
• Lauren Radcliffe
• Rebecca Harrison Radcliffe, MA, LCPC
• Kenan Tayssir Raddawi, MD
• Nicholas J Rademacher
• Dana Greene Rader, DNP, CNM, FNP-BC

• Nephrology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.