Active NPI
Kevin W Thomas MD Neurology PLLC
- Neurology Physician
- Camillus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 1664451
- Legal business name
- KEVIN W THOMAS MD NEUROLOGY PLLC
- Practice address
- 5700 W Genesee St
Ste 124
Camillus, NY 13031-3200 - Phone
- (315) 472-8841
- Fax
- (315) 472-8859
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin W Thomas, MD
- Title
- Owner
- Phone
- (315) 472-8841
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 1664451 | NY | Primary |
Addresses
Primary practice location
5700 W Genesee St
Ste 124
Camillus, NY 13031-3200
Mailing address
4567 Crossroads Park Dr
Liverpool, NY 13088-3589
Phone (315) 295-2100
National Provider Directory
National Provider DirectoryLocations
5700 W Genesee St
Ste 124
Camillus, NY 13031
Phone (315) 472-8841
308 W Seneca St
Manlius, NY 13104
Phone (315) 682-5080
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Camillus, NY
- NPI 1659477560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405987200000",
"number": "1700293743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4567 CROSSROADS PARK DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883589",
"telephone_number": "315-295-2100",
"fax_number": "315-295-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "STE 124",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-472-8841",
"fax_number": "315-472-8859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN W THOMAS MD NEUROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-472-8841",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "1664451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.