Active NPI
Roger Lynn Thomas, DO
- Family Medicine Physician
- Derby, KS
National Provider Identifier
1942275342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0518534
- Practice address
- 606 Mulberry Rd
Derby, KS 67037-3532 - Phone
- (316) 788-3787
- Fax
- (316) 788-6930
- NPI assigned
- Feb 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0518534 | KS | Primary |
Addresses
Primary practice location
606 Mulberry Rd
Derby, KS 67037-3532
Mailing address
606 Mulberry Rd
Derby, KS 67037-3532
Phone (316) 788-3787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00099501 | Other | KS | RAILROAD MEDICARE |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0518534 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1942275342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 MULBERRY RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373532",
"telephone_number": "316-788-3787",
"fax_number": "316-788-6930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 MULBERRY RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373532",
"telephone_number": "316-788-3787",
"fax_number": "316-788-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ROGER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0518534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00099501",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.