Kyle Thomas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

Bassett Army Community Hospital 4076 Neely Road
BLDG. 4076, Room 3C-401
Fort Wainwright, AK 99703-7440

Phone

(907) 361-6028

NPI assigned

Sep 15, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1891465498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC-AK ATTN: MCUC-MMD-QM (CREDENTIALS)",
            "address_2": "1060 GAFFNEY RD. #7440",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD",
            "address_2": "BLDG. 4076, ROOM 3C-401",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-361-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas S Strain
• Jane A Sublette
• Ann Sutherland
• Susan J Tate, MD
• Brett Terbeek, PA-C
• Laura Anne Thompson, RN
• Michael W. Thwing, MD
• William Thomas Tomlin, PT, DPT, CSCS
• Gina Torres, DDS
• Brian Trinh, PHARM.D.

• Physician Assistant in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.