GEORGE THEKKANATTU THOMAS


Address: Building 140 Campus Drive, University Health Center, College Park, MD 20742
Phone: 3013148095

GEORGE THEKKANATTU THOMAS (NPI# 1336499151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336499151
Entity Type Individual
Full Name GEORGE THEKKANATTU THOMAS
Credential PA-C
Practice Address Building 140 Campus Drive
University Health Center
College Park
MD 20742
Mailing Address 8163 Mandan Ter
Greenbelt
MD 20770-2643
Practice Telephone 3013148095
Mailing Telephone 3012470844
Enumeration Date 2012-09-19
Last Update Date 2016-02-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0004724 MD Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address BUILDING 140 CAMPUS DRIVE
UNIVERSITY HEALTH CENTER
City COLLEGE PARK
State MD
Zip Code 20742

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417475047 Theodore Pickett Jr. Psychologist 4281 Chapel Lane, College Park, MD 20742 2017-09-04
1811320393 Andrea Megan Winsor-lovely Physician Assistant 140 Campus Drive, College Park, MD 20742 2013-08-19
1386944742 Kimberly Lynn Pfister Physician Assistant University Health Center Bldg 140, University of Maryland, College Park, MD 20742 2010-11-01
1144463449 Dianne Handy Speech-Language Pathologist Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Parkl, MD 20742 2009-04-16
1477796902 Colleen K Worthington Speech-Language Pathologist Dept. of Hearing & Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 2009-04-14
1518100189 Vivian Diane Sisskin Speech-Language Pathologist 0100 Lefrak Hall, Dept. of Hearing & Speech Scienceuniversity of Maryland, College Park, MD 20742 2009-04-13
1235351859 Judith Ann Chernoff Internal Medicine University of Maryland University Health Center, Building 140, Campus Drive, College Park, MD 20742 2007-05-03
1265563001 Sacared Bodison Pediatrics University Health Center - University of Maryland, Building 140, College Park, MD 20742 2007-03-07
1417097403 Deirdre A Younger Pharmacist Bldg 140 Campus Drive, University of Maryland University Health Center, College Park, MD 20742 2007-02-07
1811131048 Paula Christine Schauer Audiologist Dept. of Hearing and Speech Sciences 0100 Lefrak Hall, University of Maryland, College Park, MD 20742 2009-05-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386944742 Kimberly Lynn Pfister Physician Assistant University Health Center Bldg 140, University of Maryland, College Park, MD 20742 2010-11-01
1407169899 Donna Parker Fleshman Physician Assistant 10250 Baltimore Ave Ste 200, College Park, MD 20740-4342 2010-07-14
1548380330 Carol Vilas Physician Assistant 140 Campus Dr, College Park, MD 20742-0001 2007-03-29
1023310125 Jessica Susan Perez Physician Assistant University of Maryland, University Health Center, Building 140, College Park, MD 20742-4711 2010-11-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336767227 Merlyn Angella Boakai Physician Assistant 800 Sero Pine Ln, Fort Washington, MD 20744-5954 2020-07-08
1831730878 Jennifer Bacher Physician Assistant 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 2019-10-01
1831747971 Miriam Noelle Meiser Physician Assistant 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 2019-09-02
1285296913 Mary Furda Physician Assistant 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 2019-07-02
1902466998 Christina Deleon Physician Assistant 403 Marvel Court, Easton, MD 21601 2019-06-20
1467012369 Molly Uebele Harrigan Physician Assistant 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 2019-06-13
1558834234 Kevin Timothy Johnson Physician Assistant 411 Naylor Mill Rd, Salisbury, MD 21801-1191 2019-01-06
1093287260 Carolina Radzyminska Johnson Physician Assistant 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 2018-12-27
1962971309 Emmy L Estrada Physician Assistant 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 2018-11-14
1982170833 Barbara Argyros Physician Assistant 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 2018-10-18
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Competitor

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City COLLEGE PARK
Zip Code 20742

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Dataset Information

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.

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