Individual provider Active NPI

Peter RS Thomas, MD

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1942265830
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5773 Issued in AZ
Practice address
10255 N 32ND St
Phoenix, AZ 85028-3851
Phone
(602) 258-7003
Fax
(602) 254-3474
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5773 AZ Primary

Addresses

Primary practice location

10255 N 32ND St
Phoenix, AZ 85028-3851

Mailing address

10255 N 32ND St
Phoenix, AZ 85028-3851
Phone (602) 258-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5773AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gynesurgical, LLC PastSince Jan 21, 2024 Accepting new patients
Laser Surgery Center, LLC PastSince Jul 1, 2001 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1942265830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PETER",
        "middle_name": "RS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.