Jeff C.C. Thomas, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

01048577A Issued in IN

Practice address

2201 W Sudbury Dr
Suite C
Bloomington, IN 47403-3812

Phone

(812) 333-1933

Fax

(812) 333-3991

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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 and National Provider Directory roles.

• Integra Health Center, LLC

  • Physical Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1831134576
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Rehabilitation Hospital of Indiana, Inc.

  • Rehabilitation Hospital
  • Indianapolis, IN
  • NPI 1255406369
  NPD (past)
• Rehabilitation Physicians of Indiana LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Indianapolis, IN
  • NPI 1356566137
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1881621605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W SUDBURY DR",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033812",
            "telephone_number": "812-333-1933",
            "fax_number": "812-333-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W SUDBURY DR",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033812",
            "telephone_number": "812-333-1933",
            "fax_number": "812-333-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFF",
        "middle_name": "C.C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01048577A",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "01048577A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200184760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Metzgar Thomas, MD
• Connor Thomas, DC
• Emily Thomas, AU.D.
• Harley Danielle Thomas, NP
• Jack E. Thomas, PH.D.
• Kelly Ann Thomas, PHD
• Gayla Suzanna Mae Thombleson, DC
• Christopher Thompson, LAT, ATC
• Dayna Amber Thompson, LMHC
• Elizabeth A Thompson, AUD

• Physical Medicine & Rehabilitation Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.