Organization Active NPI

Kevin Thomas DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Crisfield, MD
National Provider Identifier
1770944647
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Dr. Kevin Thomas, DPMNPI 1316141294
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3378055-02MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Kevin Thomas DPM PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.