Active NPI
Nicholas Matthew Thomas-Bock, D.O.
- Pediatric Radiology Physician
- Peninsula, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 34.015123
- Practice address
- 6039 Ledgeview Dr
Peninsula, OH 44264-9540 - Phone
- (330) 418-2603
- NPI assigned
- May 20, 2015
- Last updated
- Apr 7, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 34.015123 | OH | Primary |
| Diagnostic Radiology Physician | 2085R0202X | C2562 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 34.015123 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | DOC-037 | GU |
Addresses
Primary practice location
6039 Ledgeview Dr
Peninsula, OH 44264-9540
Mailing address
6039 Ledgeview Dr
Peninsula, OH 44264-9540
Phone (330) 418-2603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, KY, GU, OH, WV, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Peninsula, OH 44264
Phone (606) 743-3186
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681
2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-7408
397 Timberleaf Dr
Beavercreek, OH 45430-2099
Phone (812) 285-5985
5350 Old Dowlen Rd
Apt 421
Beaumont, TX 77706-6629
Phone (617) 981-3064
6039 Ledgeview Dr
Peninsula, OH 44264-9540
Phone (304) 550-7745
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015123 | OH | MD | Pediatric Radiology Physician |
| C2562 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelina Diagnostic Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Norton Clark Physician Practices, LLC | Current | Accepting new patients | |
| West Virginia Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Infinity Teleradiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Premier Imaging and Intervention, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Arh Mary Breckinridge Health Services, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Merit Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Arh Tug Valley Health Services, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Idoc Telehealth Solutions, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Akron Children's Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Arh Mary Breckinridge Health Services, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Arh Tug Valley Health Services, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2561
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072
2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154
226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871
407 Main St
Ste 1
Belpre, OH 45714
Phone (304) 615-2454
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700
1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000
701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151
Interoperability endpoints
- nthomas75075@direct.chmca.org
Organizations & group practices 32
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
-
dba ARH Morgan County Clinic
- Anatomic Pathology & Clinical Pathology Physician
- West Liberty, KY
- NPI 1962520312
Diagnostic Radiology, OH
-
dba Highlands ARH Regional Medical Center
- Anatomic Pathology & Clinical Pathology Physician
- Prestonsburg, KY
- NPI 1992367569
Diagnostic Radiology, OH
-
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1851783534
-
dba Northern Light Radiology Associates
- Diagnostic Radiology Physician
- Charleston, WV
- NPI 1093550915
OH
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
dba ADRA Medical Imaging
- Diagnostic Radiology Physician
- Lufkin, TX
- NPI 1033175302
-
dba Mary Breckinridge ARH Hospital
- Anatomic Pathology & Clinical Pathology Physician
- Hyden, KY
- NPI 1962040758
Diagnostic Radiology, OH
-
dba Boone Memorial Hospital
- Multi-Specialty Clinic/Center
- Madison, WV
- NPI 1285686725
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1902285117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6039 LEDGEVIEW DR",
"city": "PENINSULA",
"state": "OH",
"postal_code": "442649540",
"telephone_number": "330-418-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6039 LEDGEVIEW DR",
"city": "PENINSULA",
"state": "OH",
"postal_code": "442649540",
"telephone_number": "330-418-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS-BOCK",
"first_name": "NICHOLAS",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "OH",
"license": "34.015123",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "C2562",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34.015123",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "DOC-037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peninsula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.