Active NPI
Kevin Thomas DPM PC
- Foot & Ankle Surgery Podiatrist
- Crisfield, MD
National Provider Identifier
1770944647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- KEVIN THOMAS DPM PC
- Practice address
- 201 Hall Hwy
Crisfield, MD 21817-2550 - Phone
- (410) 749-0121
- Fax
- (410) 749-6807
- NPI assigned
- Mar 18, 2016
- 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
- Dr. Kevin Thomas, DPM
- Title
- Ceo/ Med. Director
- Phone
- (410) 749-0121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
201 Hall Hwy
Crisfield, MD 21817-2550
Mailing address
560 Riverside Dr.
Suite a-101
Salisbury, MD 21801
Phone (410) 749-0121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3378055-02 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Kevin Thomas DPM PC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Cambridge, MD
- NPI 1134580004
-
- Foot & Ankle Surgery Podiatrist
- Ocean City, MD
- NPI 1194191379
-
- Foot & Ankle Surgery Podiatrist
- Crisfield, MD
- NPI 1225404403
-
- Foot & Ankle Surgery Podiatrist
- Cambridge, MD
- NPI 1346616521
-
- Foot & Ankle Surgery Podiatrist
- Ocean City, MD
- NPI 1730540998
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1770944647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 RIVERSIDE DR.",
"address_2": "SUITE A-101",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-749-0121",
"fax_number": "410-749-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HALL HWY",
"city": "CRISFIELD",
"state": "MD",
"postal_code": "218172550",
"telephone_number": "410-749-0121",
"fax_number": "410-749-6807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN THOMAS DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-18",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO/ MED. DIRECTOR",
"authorized_official_telephone_number": "410-749-0121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3378055-02",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crisfield, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.