Active NPI
Raymond L Thomas, MD
- Diagnostic Radiology Physician
- Florence, SC
National Provider Identifier
1669469060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5647
- Practice address
- 555 E Cheves St
Radiology Department
Florence, SC 29506-2617 - Phone
- (843) 669-5162
- Fax
- (843) 667-4573
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5647 | SC | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 5647 | SC | |
| Body Imaging Physician | 2085B0100X | 5647 | SC | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 5647 | SC | |
| Diagnostic Ultrasound Physician | 2085U0001X | 5647 | SC | |
| Neuroradiology Physician | 2085N0700X | 5647 | SC | |
| Nuclear Radiology Physician | 2085N0904X | 5647 | SC | |
| Pediatric Radiology Physician | 2085P0229X | 5647 | SC | |
| Radiation Oncology Physician | 2085R0001X | 5647 | SC | |
| Radiological Physics Physician | 2085R0205X | 5647 | SC | |
| Therapeutic Radiology Physician | 2085R0203X | 5647 | SC | |
| Nuclear Medicine Physician | 207U00000X | 5647 | SC |
Addresses
Primary practice location
555 E Cheves St
Radiology Department
Florence, SC 29506-2617
Mailing address
217 Dozier Blvd
Suite 100
Florence, SC 29501-4090
Phone (843) 669-5162
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154758900 | Other | SC | US DEPT OF LABOR |
| 570525838 | Other | SC | STANDARD TAX ID |
| 06818 | Other | NC | BCBS OF NC |
| 056478 | Medicaid | SC | |
| 31717 | Other | SC | MEDCOST |
| 300020866 | Other | SC | RAILROAD MEDICARE |
| 8906818 | Other | NC | NC MEDICAID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5647 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1669469060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 DOZIER BLVD",
"address_2": "SUITE 100",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295014090",
"telephone_number": "843-669-5162",
"fax_number": "843-667-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "843-669-5162",
"fax_number": "843-667-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RAYMOND",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "5647",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "SC",
"license": "5647",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "SC",
"license": "5647",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "154758900",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STANDARD TAX ID",
"identifier": "570525838",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "06818",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056478",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "31717",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300020866",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAID",
"identifier": "8906818",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.