DR. STEPHANIE GAIL THOMAS (NPI# 1225193550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225193550 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE GAIL THOMAS |
| Credential | MD |
| Practice Address |
201 E Luke Ave Summerville SC 29483-6834 |
| Practice Telephone | 8438510079 |
| Practice Fax Number | 8438731002 |
| Mailing Telephone | 8438510079 |
| Mailing Fax Number | 8438731002 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2012-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20173 | SC | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
20173 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 201739 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365326 | Stephanie Martha Thomas | Student in an Organized Health Care Education/Training Program | 2220 N Clark St Apt 201, Chicago, IL 60614-3849 | 2020-04-20 |
| 1770063521 | Stephanie M Thomas | Speech-Language Pathologist | 13075 W Persimmon Ln Ste 120, Boise, ID 83713-1986 | 2018-08-20 |
| 1770086977 | Stephanie Lorraine Thomas | Developmental Therapist | 111 Fiddlers Ridge Rd, Vine Grove, KY 40175-1265 | 2018-03-14 |
| 1295247427 | Stephanie Thomas | Dentist | 800 E Merritt Island Cswy # 105, Merritt Island, FL 32952-3514 | 2017-10-27 |
| 1548785504 | Stephanie Martin Thomas | Case Manager/Care Coordinator | 467277 E 1060 Rd, Sallisaw, OK 74955-7178 | 2017-08-10 |
| 1003267576 | Stephanie Thomas | Nurse Practitioner | 59315 River West Dr Ste C, Plaquemine, LA 70764-6553 | 2016-06-27 |
| 1003279894 | Stephanie Frances Kane Thomas | Counselor | 14910 Leeward Dr Unit 605, Corpus Christi, TX 78418-8108 | 2016-03-30 |
| 1528306578 | Stephanie Lavon Thomas | Counselor | 916 Niblick Dr, Las Vegas, NV 89108-1113 | 2013-01-25 |
| 1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
| 1932402203 | Stephanie K Thomas | Specialist/Technologist | 968 W Juanita Ave, Gilbert, AZ 85233-2549 | 2010-12-08 |
| Street Address |
201 E LUKE AVE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710944087 | Pinelands Group Homes, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 201 E Luke Ave, Summerville, SC 29483-6834 | 2006-04-28 |
| 1770890485 | Pinelands Group Home, Inc. | Psychiatric Residential Treatment Facility | 201 E Luke Ave, Summerville, SC 29483-6834 | 2010-09-02 |
| 1003128182 | Pinelands Group Home | Community/Behavioral Health | 201 E Luke Ave, Summerville, SC 29483-6834 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
| 1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
| 1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
| 1881803641 | Ajay Sood | Psychiatry & Neurology | 255 King St, Charleston, SC 29401-1435 | 2007-05-21 |
| 1619023876 | Marietta M. Chua | Psychiatry & Neurology | 4 Sweet Gum Ln, Hilton Head Island, SC 29928-4207 | 2007-01-28 |
| 1083704837 | Kimberly Monique Bush | Psychiatry & Neurology | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2006-10-13 |
| 1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
| 1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
| 1053359851 | Ayanna Swinton Jamison | Psychiatry & Neurology | 2601 Read St Ste I-10, Columbia, SC 29204-7861 | 2006-06-03 |
| 1144271867 | Laureen Judy Noll | Psychiatry & Neurology | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.