DR. KEVIN ROBERT THOMAS (NPI# 1184817363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184817363 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ROBERT THOMAS |
| Credential | M.D. |
| Practice Address |
111 Marble Mill Road Marietta GA 30060-1130 |
| Practice Telephone | 7704221013 |
| Practice Fax Number | 7705145996 |
| Mailing Telephone | 7704221013 |
| Mailing Fax Number | 7705145996 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
0063033 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643545 | Kevin Daniel Thomas | Occupational Therapy Assistant | 1779 Glendale Milford Rd., Cincinnati, OH 45213 | 2019-01-25 |
| 1316340615 | Kevin Thomas | Military Health Care Provider | 1126 Furlong Dr, Libertyville, IL 60048-3701 | 2014-09-30 |
| 1740605120 | Kevin Thomas | Contractor | 610 Sw 52nd St, Apt 604, Lawton, OK 73505-6837 | 2014-02-21 |
| 1285846741 | Kevin Scott Thomas | Psychologist | 232 W Main St Ste 101, Tustin, CA 92780-7712 | 2007-05-04 |
| 1033746169 | Kevin Thomas | Student in an Organized Health Care Education/Training Program | 701 W 5th St Ste 1229, Odessa, TX 79763-4206 | 2020-03-26 |
| 1134696784 | Kevin Floyd Thomas | Counselor | 505 5th Ave Ste 600, Des Moines, IA 50309-2319 | 2018-10-31 |
| 1215415245 | Kevin Neal Thomas | Technician | 4326 W. Cheyenne Ave (suite 100), North Las Vegas, NV 89032 | 2018-08-01 |
| 1114429057 | Kevin Thomas | Counselor | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2018-03-07 |
| 1720500655 | Kevin George Thomas | Dentist | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2017-07-12 |
| 1487181368 | Kevin Mathew Thomas | Physical Medicine & Rehabilitation | 1 Hospital Dr # Dc046.00, Columbia, MO 65212 | 2017-05-22 |
| Street Address |
111 MARBLE MILL ROAD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164442562 | Jim D Adkins | Dermatology | 111 Marble Mill Road, Marietta, GA 30060-1047 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780623785 | Jessie Lee | Pathology | 175 White St Nw, Suite 370, Marietta, GA 30060-1053 | 2006-06-05 |
| 1366658437 | Lynn D Cooper | Pathology | 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319 | 2007-05-15 |
| 1417908484 | Douglas Huber | Pathology | 677 Church St Ne, Marietta, GA 30060-1101 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871630350 | Seth Ian Rosenthal | Pathology | 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349-5062 | 2007-01-31 |
| 1295798320 | Wayne L Bakotic | Pathology | 114 Mimosa Dr, Suite C, Thomasville, GA 31792-6677 | 2006-04-10 |
| 1134193774 | Drazen M Jukic | Pathology | 5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 | 2006-02-13 |
| 1639158389 | Scott M Acker | Pathology | 6240 Shiloh Rd Ste B, Alpharetta, GA 30005-8347 | 2006-01-11 |
| 1295710754 | Bradley W. Bakotic | Pathology | 2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514 | 2005-12-07 |
| 1093797144 | Michael J Palko IIi | Pathology | 510 E Oglethorpe Hwy, Hinesville, GA 31313 | 2005-11-15 |
| 1053392191 | Ling Chen | Pathology | 1951 Clairmont Rd, Decatur, GA 30033-3415 | 2005-11-07 |
| 1649270885 | Jordan H. Berne | Pathology | 6095 Barfield Rd Ne, Suite 200, Atlanta, GA 30328-4408 | 2005-07-29 |
| 1588667380 | Christopher J Kligora | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2005-05-24 |
| 1912900697 | Steve M Covington IIi | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
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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.