MR. WILLIAM WAYNE THOMAS II (NPI# 1801358163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801358163 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM WAYNE THOMAS II |
| Credential | APRN, FNP-C |
| Practice Address |
2808 Outer Dr Marion IL 62959-5207 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6189933817 |
| Practice Fax Number | 6189933908 |
| Mailing Telephone | 6184575200 |
| Mailing Fax Number | 6186290586 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013324 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019260 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MULTI SPECIALTY PTAN | 214881 | 01 |
| IL | 209.019260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077962 | William A Thomas | Case Manager/Care Coordinator | 1711 Sylvania Ave., Toledo, OH 43613-4361 | 2019-01-25 |
| 1780157347 | William Thomas | Counselor | 30835 W 10 Mile Rd # 1013, Farmington Hills, MI 48336-2607 | 2019-01-07 |
| 1851768311 | William Douglas Thomas | Counselor | 2900 Erie St S, St Petersburg, FL 33712-3363 | 2015-08-31 |
| 1558600825 | William R. Thomas | Dentist | 9524 Wood Valley Ln, Charlotte, NC 28270-0463 | 2013-02-06 |
| 1730456120 | William J Thomas | Pharmacist | 5748 39th Street Cir E, Bradenton, FL 34203-5500 | 2011-11-29 |
| 1467636308 | William B Thomas | Optometrist | 346 3rd Ave, Gallipolis, OH 45631-1106 | 2007-12-27 |
| 1013190925 | William Hobson Thomas Jr. | Chiropractor | 1805 Ne Whitestone Dr, Lees Summit, MO 64086-5973 | 2007-12-13 |
| 1366633240 | William Dalton Thomas IIi | Dentist | 4503 Us 62, Hillsboro, OH 45133 | 2007-08-06 |
| 1871703835 | William Clark Thomas | Dentist | 5346 Stadium Trace Pkwy Ste 108, Hoover, AL 35244-4583 | 2007-05-22 |
| 1164634739 | William Hayden Thomas | Dentist | 6209 Old Keene Mill Court, Springfield, VA 22152 | 2007-05-04 |
| Street Address |
2808 OUTER DR |
| City | MARION |
| State | IL |
| Zip Code | 62959-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384533 | Daniel Sherwood | Physician Assistant | 2808 Outer Dr, Marion, IL 62959-5207 | 2020-01-06 |
| 1033768577 | Jessie Nicole Fox | Nurse Practitioner | 2808 Outer Dr, Marion, IL 62959-5207 | 2019-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391977 | Pamela Jane Clarida | Nurse Practitioner | 1001 E Illinois St, Marion, IL 62959-3711 | 2020-09-22 |
| 1194330845 | Jamie Jones Hayden | Nurse Practitioner | 134 Willow Springs Rd, Marion, VA 24354-6700 | 2020-09-10 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1902466220 | Aimee Wiggins Martin | Nurse Practitioner | 1649 W Highway 76, Marion, SC 29571-6621 | 2019-06-18 |
| 1033670062 | Era Louise Mattingly | Nurse Practitioner | 11522 White Pine Ave, Marion, IL 62959-8379 | 2019-03-31 |
| 1598223414 | Jeanni A. Gerwin | Nurse Practitioner | 1125 Ellen Kay Dr Ste A, Marion, OH 43302-6358 | 2019-03-10 |
| 1619431780 | Lisa Dawn Powell | Nurse Practitioner | 2921 Hwy 77 S Ste 12-13, Marion, AR 72364-2367 | 2019-01-23 |
| 1285110551 | Marcie Ann Ellington | Nurse Practitioner | 518 W Gum St, Marion, KY 42064-1516 | 2018-07-19 |
| 1649766288 | Nicholas Kyle Shockley | Nurse Practitioner | 2700 W Deyoung St Ste F, Marion, IL 62959-4943 | 2018-07-06 |
| Find all providers in MARION | ||||
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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.