JACOB WILLIAM THOMAS (NPI# 1780113886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780113886 |
| Entity Type | Individual |
| Full Name | JACOB WILLIAM THOMAS |
| Credential | DO |
| Practice Address |
701 Hospital Loop Fairchild Afb WA 99011-8704 |
| Mailing Address |
701 Hospital Loop Rm 184 Fairchild Air Force Base WA 99011-8704 |
| Practice Telephone | 5092472361 |
| Mailing Telephone | 5092472631 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 7286321 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125071136 | IL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1325 Community Memorial Dr, La Grange, IL 605252659 | 7082458900 | 7082455777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699302844 | Jacob Leigh Thomas | Student in an Organized Health Care Education/Training Program | 234 Melwood Ave Apt 204, Pittsburgh, PA 15213-1640 | 2020-03-26 |
| 1184653651 | Jacob Mannoor Thomas | Internal Medicine | 818 W Frank Ave, Lufkin, TX 75904-3317 | 2006-06-30 |
| 1912504333 | Jacob Charles Thomas | Physical Therapist | 19629 Ne 23rd St, Harrah, OK 73045-9305 | 2020-10-08 |
| 1013484526 | Jacob Clayton Thomas | Physical Therapist | 5796 Nashville Rd, Bowling Green, KY 42101-7546 | 2018-11-01 |
| 1255823431 | Jacob Thomas | Case Manager/Care Coordinator | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2018-06-04 |
| 1639672876 | Jacob Joseph Thomas | Behavior Technician | 877 Ygnacio Valley Rd Ste 100, Walnut Creek, CA 94596-3897 | 2018-03-14 |
| 1013435296 | Jacob E Thomas | Chiropractor | 651 S Limestone St, Springfield, OH 45505-1965 | 2017-09-07 |
| 1952753162 | Jacob Thomas | Hearing Instrument Specialist | 610 S Park Crest Dr, Freeport, IL 61032-7802 | 2016-07-12 |
| 1295115509 | Jacob Thomas | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2015-06-02 |
| 1437538303 | Jacob Thomas | Obstetrics & Gynecology | 625 N Foster St, Mitchell, SD 57301-2969 | 2015-05-26 |
| Street Address |
701 HOSPITAL LOOP |
| City | FAIRCHILD AFB |
| State | WA |
| Zip Code | 99011-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568927168 | Scott Gilbert | Social Worker | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2019-02-07 |
| 1750872453 | Andrew Hamilton | Dentist | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2018-05-29 |
| 1497250211 | Courtney Beaver | Student in an Organized Health Care Education/Training Program | 701 Hospital Loop, Fairchild Afb, WA 99011 | 2018-03-25 |
| 1730691148 | Bryce Ferland | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2017-10-26 |
| 1184166977 | Nathan James Dillow | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-11-09 |
| 1770936940 | Jeremy Thompson | Physician Assistant | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-07-22 |
| 1578916383 | Megan Gaschk | Student in an Organized Health Care Education/Training Program | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-07-16 |
| 1598116329 | Roger Joel Brogis II | Emergency Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-06-22 |
| 1801241476 | Nicholas Forster-curnew | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-05-02 |
| 1124481122 | Alyse Marie Carlson | Pediatrics | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939732 | Ruth Ann Sunde | Social Worker | 92d Medical Group/sgow, 701 Hospital Loop, Suite 259, Fairchild Afb, WA 99011 | 2019-02-26 |
| 1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
| 1174032569 | Elizabeth Andrews | Registered Nurse | 400 W Fairchild Highway, Fairchild Afb, WA 99011 | 2017-09-28 |
| 1770031171 | Mariah Combs | Behavioral Analyst | 5298 B Sycamore Street, Fairchild Afb, WA 99011 | 2016-09-14 |
| 1770960957 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 101 W. Spaatz Rd., Bldg 2465, Fairchild Afb, WA 99011 | 2015-04-27 |
| 1306191689 | Patricia Kaye Catrow | Family Medicine | 701 Hospital Loop Bldg 9000, Fairchild Afb, WA 99011 | 2012-07-23 |
| 1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
| 1992078554 | Alyssa Marie Degeyter | Community Health Worker | 7272 A Nebraska Ave, Fairchild Air Force Base, WA 99011 | 2012-02-13 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| Find all providers in zip 99011 | ||||
| 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 |
|---|---|---|---|---|
| 1306191689 | Patricia Kaye Catrow | Family Medicine | 701 Hospital Loop Bldg 9000, Fairchild Afb, WA 99011 | 2012-07-23 |
| 1033283270 | Stephanie M Davis | Family Medicine | 207 Hospital Loop, Suite 114, Fairchild Afb, WA 99201-8704 | 2006-11-20 |
| 1447232939 | Steven James Nordeen | Family Medicine | 2504 S Chicago St Bldg 1354, Fairchild Afb, WA 99011 | 2005-11-18 |
| 1134113905 | Leah W. Brockway | Family Medicine | 92 Medical Group/ Flight Medicine Clinic, 700 Hospital Loop, Bldg 9000, Fairchild Afb, WA 99011 | 2005-09-07 |
| 1134509607 | Nathan Jantz Damiano | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011 | 2015-05-31 |
| 1528356698 | Mark Lussier | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2011-07-11 |
| 1750679866 | Dane Morgan Newell | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2011-07-11 |
| 1710298419 | Joshua Peter Brautigam | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2010-06-28 |
| 1396938916 | Shannon M Brodersen | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2007-08-27 |
| 1760470447 | Mark Edward Hoggan | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2005-10-07 |
| Find all providers in FAIRCHILD AFB | ||||
| City | FAIRCHILD AFB |
| Zip Code | 99011 |
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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.