Edward Donnall Thomas Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3741 Issued in MT

Practice address

1898 Timberline Rd
Lewistown, MT 59457-8684

Phone

(406) 538-2661

NPI assigned

Jun 21, 2005

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. E Donnall Thomas Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Big Sky Internal Medicine

  • Internal Medicine Physician
  • Lewistown, MT
  • NPI 1023100732
  NPD (past)
• Central Montana Medical Facilities, Inc

  dba Central Montana Medical Center

  • Critical Access Hospital
  • Lewistown, MT
  • NPI 1790798387
  NPD (past)
• Central Montana Medical Facilities, Inc.

  dba Central Montana Medical Center Clinic

  • Family Medicine Physician
  • Lewistown, MT
  • NPI 1497868814

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1801892369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 TIMBERLINE RD",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594578684",
            "telephone_number": "406-538-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 TIMBERLINE RD",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594578684",
            "telephone_number": "406-538-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EDWARD",
        "middle_name": "DONNALL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "3741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056303",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "THOMAS",
            "middle_name": "DONNALL",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Garrett Harlan Taylor, MD
• Richard N Taylor Jr., M.D.
• Kathleen Zoe Thackeray, OTR/L
• The Broadway Company (Lewistown Pharmacy)
• The Montana Clinic, PC
• Total Family Care PLLP
• Christine Ann Tremain, LCPC
• Troop Family Medicine
• Valle Vista Rehabilitation and Nursing LLC
• Donna M. Vantassel, RN, NP-C

• Internal Medicine Physician in Lewistown, MT
• Providers in Lewistown, MT by specialty
• Internal Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.