Individual provider Active NPI

Eric Lamar Thomas

  • Contractor
  • Newport News, VA
National Provider Identifier
1801492939
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
700 Tech Center Pkwy Ste 200
Newport News, VA 23606-3075
Phone
(757) 524-3265
NPI assigned
Dec 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Contractor 171W00000X Primary

Addresses

Primary practice location

700 Tech Center Pkwy Ste 200
Newport News, VA 23606-3075

Mailing address

11712 Jefferson Ave Ste C-121
Newport News, VA 23606-4406
Phone (757) 524-3265

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://transportationco.logisticare.com Direct MODIVCARE SOLUTIONS, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1801492939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 JEFFERSON AVE STE C-121",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064406",
            "telephone_number": "757-524-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TECH CENTER PKWY STE 200",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063075",
            "telephone_number": "757-524-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ERIC",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://transportationco.logisticare.com",
            "affiliation": "Y",
            "affiliationName": "MODIVCARE SOLUTIONS, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Laptop",
            "address_1": "1275 Peachtree Street NE",
            "address_2": "6th Fl",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.