TRACEY S THOMAS (NPI# 1518901602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518901602 |
| Entity Type | Individual |
| Full Name | TRACEY S THOMAS |
| Credential | DO |
| Practice Address |
1124 Gallery Park Ln Wilmington NC 28412-1142 |
| Mailing Address |
1202 Medical Center Drive Attn: Credentialing Wilmington NC 28401 |
| Practice Telephone | 9103413300 |
| Practice Fax Number | 9102512067 |
| Mailing Telephone | 9103413300 |
| Mailing Fax Number | 9102512067 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2012-02056 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 34.009991 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2438 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 02969 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000484080 | 01 |
| WV | RR MEDICARE | 00799629 | 01 |
| OH | 2754318 | 05 | |
| WV | 3810016933 | 05 | |
| KY | 64124860 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Julian Rd, Salisbury, NC 281479078 | 7046373373 | 7046370069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366909715 | Tracey Thomas | Registered Nurse | 2033 County Road 8, Canandaigua, NY 14424-8209 | 2019-02-21 |
| 1144737263 | Tracey Denise Thomas | Specialist/Technologist, Other | 414 Swanson St, Martinsville, VA 24112-2533 | 2018-01-10 |
| 1740705631 | Tracey Cecele Thomas | Registered Nurse | 1663 East 17 St., Brooklyn, NY 11229 | 2017-08-11 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| 1043875560 | Tracey Thomas | Behavior Technician | 6701 Democracy Blvd, Bethesda, MD 20817-1572 | 2019-05-09 |
| 1336687854 | Tracey Thomas | Naturopath | 6135 Seaview Ave Nw, Suite 300, Seattle, WA 98107-2628 | 2017-02-03 |
| 1144594359 | Tracey R Thomas | Counselor | 2714 Canal St, New Orleans, LA 70119-5548 | 2012-03-06 |
| 1346478674 | Tracey Lane Thomas | Speech-Language Pathologist | 300 Northpointe Cir, Ste 102, Seven Fields, PA 16046-7862 | 2009-06-25 |
| Street Address |
1124 GALLERY PARK LN |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693922 | Delcare Health Solutions, LLC | Family Medicine | 2801 Lancaster Ave Ste E, Wilmington, DE 19805-5232 | 2020-09-14 |
| 1689288730 | Web Doctors, Inc | Family Medicine | 4023 Kennett Pike # 50372, Wilmington, DE 19807-2018 | 2020-09-06 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| 1003435256 | Lindo Family Health & Wellness Care | Family Medicine | 5309 Limestone Rd Ste B, Wilmington, DE 19808-1222 | 2020-04-08 |
| 1588296784 | Cityblock Medical Practice De, P.a. | Family Medicine | 1209 N Orange St, Wilmington, DE 19801-1120 | 2020-02-06 |
| 1033776323 | Advanced Regenerative Care of Wilmington, Pllc | Family Medicine | 4421 Junction Park Dr Ste 200, Wilmington, NC 28412-2291 | 2019-05-22 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1417343609 | Home Physicians Chesapeake, PC | Family Medicine | 300 Bellevue Pkwy, Suite 101, Wilmington, DE 19809-3704 | 2015-04-14 |
| 1952705725 | Healing Hand Family Care Clinics Corp | Family Medicine | 1231 N. Avalon Blvd, Wilmington, CA 90744-2601 | 2014-10-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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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.