Jacqueline Thomas, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS 9917 Issued in FL

Practice address

3200 S University Dr
Suite 4345 Ziff Building
Davie, FL 33328-2018

Phone

(954) 262-1647

Fax

(954) 262-3981

NPI assigned

Nov 18, 2009

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joseph Onorato MD PCGroup PAC ID 6800801655, 14 clinicians

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11709/brand/1/csg/1/fhir/r4

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

• Joseph Onorato M.D., P.C.

  dba SWFL Dermatology, Mohs Surgery & Laser Center

  • Dermatology Physician
  • Naples, FL
  • NPI 1225680317
  Medicare reassignment Care Compare group NPD
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Dermatology

  Medicare reassignment Care Compare group NPD
• Collier Boulevard Hma Physician Management LLC

  • Family Medicine Physician
  • Naples, FL
  • NPI 1508098344

  Dermatology

  Medicare reassignment NPD
• Joseph Onorato M.D., P.C.

  dba All Island Dermatology

  • Dermatology Physician
  • Garden City, NY
  • NPI 1598820698
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1740518430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 TAMIAMI TRL N STE 112",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341106204",
            "telephone_number": "239-500-7546",
            "fax_number": "239-294-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "SUITE 4345 ZIFF BUILDING",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-1647",
            "fax_number": "954-262-3981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Tamiami Trl N Ste 112",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341106204",
            "country_code": "US",
            "telephone_number": "239-500-7546",
            "fax_number": "239-294-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2024-01-25",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS 9917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.thomas.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "8340 Collier Blvd Ste 406",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341143626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Armani Thomas
• Bini Raichel Thomas, APRN, AGACNP-BC
• Celin Thomas
• David Lamarr Thomas, MD
• Debra L Thomas, LMHC
• Jasmyne Thomas
• Kayan Thomas
• Kwame' I Thomas
• Meenu E Thomas, MS CCC-SLP
• Rohan Anthony Thomas

• Dermatology Physician in Davie, FL
• Providers in Davie, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.