Andrew J Thomas MD Inc
Organization Active NPI Otolaryngology Physician · Grass Valley, CA
NPI 1992371074 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1992371074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- Legal business name
- ANDREW J THOMAS MD INC
- Practice address
- 123 Margaret LN Ste B1
Grass Valley, CA 95945-5268 - Phone
- (530) 410-0368
- Fax
- (530) 410-0864
- NPI assigned
- May 31, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew J Thomas, MD
- Title
- Owner
- Phone
- (530) 410-0368
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210723000638 | CA | Part B Supplier - Clinic/Group Practice | 9234532581 |
Receives reassigned benefits from 1 practitioner Practice locations: Grass Valley, CA |
National Provider Directory
Locations
123 Margaret Ln
Ste B1
Grass Valley, CA 95945
Phone (530) 410-0368
123 Margaret Ln
Ste C1
Grass Valley, CA 95945
Phone (530) 274-9623
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | Yes |
Addresses
Primary practice location
123 Margaret LN Ste B1
Grass Valley, CA 95945-5268
Mailing address
123 Margaret LN Ste C1
Grass Valley, CA 95945-5268
Phone (530) 410-0368
Other practice location 1
123 Margaret Ln Ste C1
Grass Valley, CA 95945-5268
Phone (530) 410-0368
Other names
- Sierra Nevada Sinus Center and ENT
Other providers in Grass Valley, CA
- David Ames
- Annette Anderson
- Haley Renee Anderson
- Heather Anderson
- Kathleen Patricia Anderson
- Dana C. Andrews
- Michael D Andya
- Angela I Ingendaay M D Professional Corporation
- Angela Ingendaay, M.D., Professional Corporation
- Tammie Angove
All providers in Grass Valley, CA · Otolaryngology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.