JACK M THOMAS MD PLLC (NPI# 1003018359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003018359 |
| Entity Type | Organization |
| Organization Name | JACK M THOMAS MD PLLC |
| Practice Address |
4101 Wesley St Ste B Greenville TX 75401-5635 |
| Mailing Address |
Po Box 8452 Greenville TX 75404-8452 |
| Practice Telephone | 9034547555 |
| Practice Fax Number | 9034504420 |
| Mailing Telephone | 9034547555 |
| Mailing Fax Number | 9034504420 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-07-02 |
| Authorized Official Name | DR. JACK M THOMAS JR. (OWNER) |
| Authorized Official Telephone | 9034547555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E4718 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588871610 | Jack M Thomas Md Pllc | Radiology | 5116 Bissonnet St, Bellaire, TX 77401 | 2007-05-17 |
| Street Address |
4101 WESLEY ST STE B |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1467815779 | Nathan Donald Lee | Specialist | 393 Woods Lake Rd, Greenville, SC 29607-2775 | 2016-04-04 |
| 1972974863 | Clinica Maternal De Greenville | Specialist | 3204 White Horse Rd, Suite D, Greenville, SC 29611-5916 | 2015-10-17 |
| 1356725444 | Misty Burch | Specialist | 64 Old Route 401, Greenville, NY 12083-1928 | 2015-07-17 |
| 1356729818 | Zachary White | Specialist | 171 West 5th Street, Greenville, NC 27834-1698 | 2015-05-15 |
| 1255733432 | Meredith Wentzel | Specialist | 319 Garlington Rd Ste D9, Greenville, SC 29615-4610 | 2014-09-19 |
| 1417291907 | Dental Anesthesia Associates of Greenville, LLC | Specialist | 2131 Woodruff Rd., Suite2100 #318, Greenville, SC 29681 | 2012-11-21 |
| 1396014148 | Women's Health Center of Greenville | Specialist | 2317 A Executive Park Circle, Greenville, NC 27834 | 2011-12-23 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.