BRUCE THOMAS (NPI# 1619077583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619077583 |
Entity Type | Individual |
Full Name | BRUCE THOMAS |
Credential | DDS |
Practice Address |
220 24th St South Wisc Rapids WI 54494 |
Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
Practice Telephone | 7154248777 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4114 | WI | Dental Providers |
X | 204E00000X | Oral & Maxillofacial Surgery | 4114 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33748100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255422192 | Bruce E Thomas | Orthopaedic Surgery | 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403-5180 | 2006-09-27 |
1386679165 | Bruce L Thomas | Family Medicine | 835 Washington St, Huntingdon, PA 16652-1725 | 2006-07-11 |
1336173863 | Bruce Thomas | Family Medicine | 1830 N Main St, Bell, FL 32619-4713 | 2006-07-10 |
1366441065 | Bruce W Thomas | Surgery | 3243 E Murdock, Suite 404, Wichita, KS 67208 | 2005-07-15 |
1508084435 | Bruce Lloyd Thomas | Chiropractor | 1452 Oakfield Dr, Brandon, FL 33511-4853 | 2007-04-23 |
1306854716 | Bruce Metzgar Thomas | Emergency Medicine | 114 Executive Dr, Suite E, Lafayette, IN 47905-4883 | 2006-08-03 |
1972522274 | Bruce R Thomas | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2006-07-18 |
1295798106 | Bruce E Thomas | Speech-Language Pathologist | Box 9095, Fpo, AP 96538 | 2006-04-11 |
1376529297 | Bruce J. Thomas II | Family Medicine | 1222 S Orange Ave, Orlando, FL 32806 | 2005-12-22 |
Street Address |
220 24TH ST SOUTH |
City | WISC RAPIDS |
State | WI |
Zip Code | 54494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346357613 | Jill M Dillon | Optometrist | 220 24th St South, Wisc Rapids, WI 54494 | 2006-08-24 |
1801996574 | Ann E Ruesch | Nurse Practitioner | 220 24th St South, Wisc Rapids, WI 54494 | 2006-09-23 |
1386756534 | Khadijah B Ahmad | Family Medicine | 220 24th St South, Wisc Rapids, WI 54494 | 2006-08-31 |
1457463606 | Joseph J Arias | Family Medicine | 220 24th St South, Wisc Rapids, WI 54494 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114556057 | Danny Thomas O'day | Massage Therapist | 2841 Saratoga St., Wisconsin Rapids, WI 54494 | 2020-04-03 |
1588184584 | Debra Lee Eberhardy | Acupuncturist | 400 Daly Avenue, Suite 101, Wisconsin Rapids, WI 54494 | 2017-06-21 |
1235687716 | Jessica Lynn Noah | Marriage & Family Therapist | 3930 8th St. So., Ste 101, Wisconsin Rapids, WI 54494 | 2016-09-14 |
1700332079 | Tammy Marie Fischer | Social Worker | 3908 8th Street South, Suite 101, Wisconsin Rapids, WI 54494 | 2016-08-28 |
1720447675 | Marita Lynn Verhalen | Occupational Therapist | 410 Dewey St, Wisconsin Rapids, WI 54494 | 2016-02-21 |
1346656469 | Lori Kroening | Counselor | 2509 8th Street S, Wisconsin Rapids, WI 54494 | 2014-07-09 |
1104166305 | Shannon Colleen Huff | Psychologist | 531 3rd St S, Wisconsin Rapids, WI 54494 | 2013-02-25 |
1245589787 | Jennifer J Derousseau | Social Worker | 2611 12th Street South, Wisconsin Rapids, WI 54494 | 2012-08-30 |
1922200575 | Thomas Harrison Raabe | Optometrist | 132 East Grand Ave, Wisconsin Rapids, WI 54494 | 2007-06-05 |
1508901067 | Michael J Downs | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494 | 2007-02-21 |
Find all providers in zip 54494 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
Find all providers with the same taxonomy |
City | WISC RAPIDS |
Zip Code | 54494 |
Please comment or provide details below to improve the information on BRUCE THOMAS.
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.