Jeannette Thomas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2005001743 Issued in MO

Practice address

2790 Clay Edwards Dr
Suite 520
North Kansas City, MO 64116-3276

Phone

(816) 221-6750

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Physician Assistant

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.

• Meritas Health Corporation

  • Neurology Physician
  • North Kansas City, MO
  • NPI 1023439833
  NPD (past)
• Midamerica Heart & Lung Surgeons, P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, MO
  • NPI 1689625949
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1891719464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY",
            "address_2": "SUITE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552233",
            "telephone_number": "816-436-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 520",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-221-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEANNETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2005001743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC INDIV #",
            "identifier": "35183021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Kate Taylor, PT, DPT
• Shanna K Taylor, PT
• Justin Thomas Teiwes, M.D.
• Judith Lee Tharp, MD
• Christian Todd Thomas, CRNA
• Mary Elizabeth Thomas, MD
• Neathery Brie Thomas, N.P.
• Holli Thornton, PA
• Kristine Marie Timmermeyer
• Suri D Ton, RN, MSN, NP-C

• Physician Assistant in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.