Organization Active NPI

M. Angela Thomas, MD, PC

  • Physical Medicine & Rehabilitation Physician
  • Henderson, NV
National Provider Identifier
1689874307
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
11173 Issued in NV
Legal business name
M. ANGELA THOMAS, MD, PC
Practice address
2510 Wigwam Pkwy
Suite 201
Henderson, NV 89074-7114
Phone
(702) 457-7463
Fax
(702) 878-7463
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Jill Elaine Moore
Title
Office Manager
Phone
(702) 457-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 11173 NV Primary

Addresses

Primary practice location

2510 Wigwam Pkwy
Suite 201
Henderson, NV 89074-7114

Mailing address

2510 Wigwam Pkwy
Suite 201
Henderson, NV 89074-7114
Phone (702) 457-7463

National Provider Directory

National Provider Directory

Locations

2510 Wigwam Pkwy
Ste 201
Henderson, NV 89074
Phone (702) 457-7463

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1689874307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY",
            "address_2": "SUITE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747114",
            "telephone_number": "702-457-7463",
            "fax_number": "702-878-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY",
            "address_2": "SUITE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747114",
            "telephone_number": "702-457-7463",
            "fax_number": "702-878-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ANGELA THOMAS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-457-7463"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "11173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.