Individual provider Active NPI

Joseph Thomas, MD

  • Occupational Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1730169616
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
ME87102 Issued in FL
Practice address
6353 Argyle Forest Blvd Ste 1
Jacksonville, FL 32244-6602
Phone
(904) 504-9660
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X ME87102 FL
Occupational Medicine Physician 2083X0100X ME87102 FL Primary

Addresses

Primary practice location

6353 Argyle Forest Blvd Ste 1
Jacksonville, FL 32244-6602

Mailing address

2758 Shade Tree Dr
Fleming Island, FL 32003-4975
Phone (904) 215-9432

Other practice location 1

4150 N Armenia Ave Ste 102
Tampa, FL 33607-6448
Phone (813) 877-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000506 FL Practitioner - Preventive Medicine 8628179215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87102FLMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joseph.thomas.1@14027.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1730169616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 SHADE TREE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034975",
            "telephone_number": "904-215-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 ARGYLE FOREST BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446602",
            "telephone_number": "904-504-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 N Armenia Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076448",
            "country_code": "US",
            "telephone_number": "813-877-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME87102",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME87102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.