ROBERT R THOMAS (NPI# 1104805597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104805597 |
| Entity Type | Individual |
| Full Name | ROBERT R THOMAS |
| Credential | PA-C |
| Practice Address |
4015 Lake Otis Pkwy Suite 201 Anchorage AK 99508-5211 |
| Practice Telephone | 9077713500 |
| Practice Fax Number | 9077713550 |
| Mailing Telephone | 9077713500 |
| Mailing Fax Number | 9077713550 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1586 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FED TAX ID | 205515193 | 01 | |
| AK | MD34481 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801358221 | Robert Miguel Thomas | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave Apt 21h, New York, NY 10037-1802 | 2019-04-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1538699442 | Robert Glynn Thomas IIi | Social Worker | 8046 Roswell Rd Ste 101c, Sandy Springs, GA 30350-3930 | 2017-06-13 |
| 1831571603 | Robert Thomas | Registered Nurse | 2113 Summerwood Dr, Mount Pleasant, SC 29466-9256 | 2015-06-29 |
| 1144562356 | Robert Morgan Thomas | Otolaryngology | 2219 Danforth Ct, Columbia, MO 65201-6228 | 2013-03-26 |
| 1578832333 | Robert Michael Thomas | Marriage & Family Therapist | 21031 Ventura Blvd Ste 704, Woodland Hills, CA 91364-2276 | 2011-12-23 |
| 1700014297 | Robert L Thomas | Dentist | 2844 Route 34, Oswego, IL 60543-8346 | 2009-06-23 |
| 1386829273 | Robert F Thomas | Preventive Medicine | 3700 I 70 Dr Se, Suite 106, Columbia, MO 65201-6522 | 2008-01-09 |
| 1811032931 | Robert John Thomas | Marriage & Family Therapist | 806 Alberta Ave, Santa Barbara, CA 93101-4702 | 2007-02-20 |
| Street Address |
4015 LAKE OTIS PKWY SUITE 201 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304659 | Karen Sue Jones | Nurse Practitioner | 4015 Lake Otis Pkwy, Ste 101, Anchorage, AK 99508-5235 | 2005-08-30 |
| 1376935999 | Kristen Weieneth Musser | Occupational Therapy Assistant | 4015 Lake Otis Pkwy, Suite 200, Anchorage, AK 99508-5235 | 2015-02-19 |
| 1336553510 | Sarah Richelle Bilak-larson | Nurse Practitioner | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5235 | 2014-06-16 |
| 1508286493 | Nskhc, LLC | Internal Medicine | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5211 | 2014-04-18 |
| 1538432471 | Rachael Carlson | Nurse Practitioner | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5211 | 2012-02-22 |
| 1912215377 | Bethany Ann Myers | Physician Assistant | 4015 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2010-09-20 |
| 1497994859 | Michael G Mcnamara Md LLC | Orthopaedic Surgery | 4015 Lake Otis Pkwy, Ste 201, Anchorage, AK 99508 | 2009-02-09 |
| 1427272970 | Chadwick E Barnes | Internal Medicine | 4015 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5211 | 2007-04-13 |
| 1487609236 | David M Lefler Jr. | Internal Medicine | 4015 Lake Otis Pkwy, Suite101, Anchorage, AK 99508-5211 | 2006-05-23 |
| 1457330961 | Michael G Mcnamara | Orthopaedic Surgery | 4015 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5211 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
| 1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
| 1003264052 | Kimberley Aikey | Physician Assistant | 1400 E 4th Ave, Anchorage, AK 99501-2857 | 2016-06-01 |
| 1457709008 | Betsy Louise Douds-paczan | Physician Assistant | 4701 Kenai Avenue, Anchorage, AK 99508 | 2016-05-24 |
| 1689021693 | Stephanie Marie Guzman | Physician Assistant | 4320 Diplomacy Dr Ste 2191, Anchorage, AK 99508-5925 | 2016-05-19 |
| 1972977866 | Alaska Medical Services Inc. | Physician Assistant | 2240 Paxson Dr Unit 1, Anchorage, AK 99504-3412 | 2015-11-16 |
| 1245610955 | Aaron M Thrasher | Physician Assistant | 4100 Lake Otis Parkway Suite 200, Anchorage, AK 99508 | 2015-06-08 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1891030789 | Katharine J Linduska | Physician Assistant | 4320 Diplomacy Dr Ste 2121, Anchorage, AK 99508-5925 | 2012-12-03 |
| 1659623031 | Alana Mandalapa | Physician Assistant | 1310 E Dimond Blvd Ste 1, Anchorage, AK 99515-2031 | 2012-10-09 |
| Find all providers in ANCHORAGE | ||||
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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.