Active NPI
John R Thomas, MD
- Otolaryngology Physician
- Fort Wayne, IN
National Provider Identifier
1841282563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01023261A
- Practice address
- 10021 Dupont Circle CT
Fort Wayne, IN 46825-1604 - Phone
- (260) 426-8117
- Fax
- (260) 420-0817
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01023261A | IN | Primary |
Addresses
Primary practice location
10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Mailing address
10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135633 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01023261A | IN | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1841282563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10021 DUPONT CIRCLE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251604",
"telephone_number": "260-426-8117",
"fax_number": "260-420-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10021 DUPONT CIRCLE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251604",
"telephone_number": "260-426-8117",
"fax_number": "260-420-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01023261A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0135633",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.