Gloria J Thomas, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME87678 Issued in FL

Practice address

New Image Cosmetic Surgery
1350 Orlando Ave
Winter Park, FL 32789

Phone

(407) 774-8001

Fax

(407) 389-0825

NPI assigned

Apr 18, 2007

Sex

Female

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Rejuvenation Center LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1194711978

  Plastic and Reconstructive Surgery

  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1841416633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SEMINOLE DR",
            "address_2": "#1457",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043232",
            "telephone_number": "513-490-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW IMAGE COSMETIC SURGERY",
            "address_2": "1350 ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-774-8001",
            "fax_number": "407-389-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GLORIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME87678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00614052",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearl Thomas-Ratti
• Alex Salvadore Thomas
• Charlette Thomas Thomas, MS
• E. Donald Thomas III, D.M.D.
• Evan Thomas, M.D., PHD.
• Marcial Thomas, LMHC, RMFTI
• Richard Stanley Thomas
• Timeesha Alexandria Thomas, MSW
• Tracey Thomas, PSYD
• Zoey Thomas

• Plastic and Reconstructive Surgery Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.