Keith Thomas (NPI# 1184792509, PAC ID# 7113946740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1184792509 |
PAC ID by PECOS | 7113946740 |
Professional Enrollment ID | I20051208000565 |
Full Name | Keith Thomas |
Organization Legal Name | BLUE MOUNTAIN HOSPITAL DISTRICT |
Address |
170 Ford Rd John Day OR 97845-2009 |
Phone Number | 5415751311 |
Gender | M |
Credential | MD |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1987 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 5193719219 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
381305 | BLUE MOUNTAIN HOSPITAL |
Address | Phone | Organization |
---|---|---|
170 Ford Rd, John Day, OR 97845-2009 | 5415751311 | BLUE MOUNTAIN HOSPITAL DISTRICT |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 60% |
Organization Legal Name | BLUE MOUNTAIN HOSPITAL DISTRICT |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Raffaella S Betza | Family Medicine | Blue Mountain Hospital District | 180 Ford Rd, John Day, OR 97845-2009 |
Juergen Lang | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Jianming Song | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Janessa S Sickler | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Kelly S Blair | General Surgery | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
David L Hall | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Cornelius J Peeples | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Emily A Lieuallen | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Nora A Healey | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Cristino O Rodriguez | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Street Address |
170 FORD RD |
City | JOHN DAY |
State | OR |
Zip | 97845-2009 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juergen Lang | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Jianming Song | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Janessa S Sickler | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Kelly S Blair | General Surgery | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
David L Hall | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Cornelius J Peeples | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Emily A Lieuallen | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Nora A Healey | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Cristino O Rodriguez | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Zachary Bailey | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
David Michael Archibald | Optometry | 401 W Main St, Suite A, John Day, OR 97845-1075 | |
Charles A Caughlin | Chiropractic | 155 Nw 1st Ave, John Day, OR 97845-1101 | |
Karen S Triplett | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
Kristin H Lubell | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
Melanie S Arntz | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
Jessica J Furka | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
Raffaella S Betza | Family Medicine | Blue Mountain Hospital District | 180 Ford Rd, John Day, OR 97845-2009 |
Shawna Arlene Clark | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Rodney V Carpenter | Certified Registered Nurse Anesthetist | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Rolf H Jarnes | Certified Registered Nurse Anesthetist | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Find all physicians in zip 97845 |
City | JOHN DAY |
Zip Code | 97845 |
Specialty | GENERAL SURGERY |
City + Specialty | JOHN DAY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Keith Thomas.
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.