Justin D Thomas (NPI# 1730595141, PAC ID# 3173847266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1730595141 |
| PAC ID by PECOS | 3173847266 |
| Professional Enrollment ID | I20170602001742 |
| Full Name | Justin D Thomas |
| Organization Legal Name | DAYTON OSTEOPATHIC HOSPITAL |
| Address |
165 Edwin C Moses Blvd Cassano Comm Hlth Ct Dayton OH 45407 |
| Phone Number | 9373968150 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7618878877 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360079 | KETTERING MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 | 9373968150 | DAYTON OSTEOPATHIC HOSPITAL |
| 540 Lincoln Park Blvd, Suite 200, Kettering, OH 45429-6403 | 9372931117 | PREMIER INTEGRATED MEDICAL ASSOC LTD |
| Organization Legal Name | DAYTON OSTEOPATHIC HOSPITAL |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Michelle Gisslen | Certified Nurse Midwife (cnm) | Dayton Osteopathic Hospital | 330 Forest Ave, Dayton, OH 45405-4536 |
| Chad Reed | Orthopedic Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Nathan M Melton | Orthopedic Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Timothy W Harman | Hand Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Antonio Manocchio | Orthopedic Surgery | Dayton Osteopathic Hospital | 300 Forest Ave, Suite 101, Dayton, OH 45405-4500 |
| Hugh Brent Bamberger | Hand Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Percy Frasier | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Adam J Dann | Hand Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Charles C Watson | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 304, Dayton, OH 45459-3823 |
| Kelly Lynn Welsh | Certified Clinical Nurse Specialist (cns) | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Street Address |
165 EDWIN C MOSES BLVD CASSANO COMM HLTH CT |
| City | DAYTON |
| State | OH |
| Zip | 45407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Reed | Orthopedic Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Nathan M Melton | Orthopedic Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Timothy W Harman | Hand Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Hugh Brent Bamberger | Hand Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Adam J Dann | Hand Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Rachel Marie Mast | Internal Medicine | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| Andrew Robert Malarkey | Orthopedic Surgery | Dayton Osteopathic Hospital | 165 Edwin C Moses Blvd, Cassano Comm Hlth Ct, Dayton, OH 45407 |
| City | DAYTON |
| Zip Code | 45407 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DAYTON + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.