Individual provider Active NPI

Mark A. Thoma, M.D.

  • Pediatrics Physician
  • Delaware, OH
National Provider Identifier
1821259987
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.091505 Issued in OH
Practice address
551 W Central Ave
Suite 303
Delaware, OH 43015-1493
Phone
(740) 615-0300
Fax
(740) 615-0301
NPI assigned
Jun 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.091505 OH Primary

Addresses

Primary practice location

551 W Central Ave
Suite 303
Delaware, OH 43015-1493

Mailing address

L-3401
Columbus, OH 43260-3401
Phone (740) 615-1324

Other identifiers 1

IdentifierTypeStateIssuer
2962049MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mthoma54414@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20130402000079 OH Practitioner - Pediatric Medicine 8820142177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.091505OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 1, 2016 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2016 Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

801 Ohio Health Blvd
Ste 270
Delaware, OH 43015
Phone (740) 615-0313

2295 W William St
Delaware, OH 43015
Phone (740) 615-0100

551 W Central Ave
Ste 303
Delaware, OH 43015
Phone (740) 368-5006

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

4141 N Hampton Dr
Ste 103
Powell, OH 43065
Phone (740) 615-2850

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1821259987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L-3401",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432603401",
            "telephone_number": "740-615-1324",
            "fax_number": "740-615-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W CENTRAL AVE",
            "address_2": "SUITE 303",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151493",
            "telephone_number": "740-615-0300",
            "fax_number": "740-615-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMA",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.091505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2962049",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthoma54414@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2295 W William St",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430151361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.