Jennifer Thomas (NPI# 1003108457, PAC ID# 8426345851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1003108457 |
| PAC ID by PECOS | 8426345851 |
| Professional Enrollment ID | I20170831001237 |
| Full Name | Jennifer Thomas |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Address |
25500 Point Lookout Rd Leonardtown MD 20650-2015 |
| Phone Number | 3014756106 |
| Gender | F |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1557589157 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3001 S Hanover St, Baltimore, MD 21225-1233 | 4103503300 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 12 Medstar Blvd, Bel Air, MD 21015-1798 | 4436255430 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 3014756106 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 2118 Greenspring Dr, Suite 100, Timonium, MD 21093-3112 | 4434701070 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 | 2028776429 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 1120 20th St Nw, Washington, DC 20036-3406 | 2027488830 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 | 2024443400 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Smith | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 233 S 6th St, Apt 302, Philadelphia, PA 19106-3750 |
| Igor Trilisky | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 6600 N Whipple St, Chicago, IL 60645-4121 |
| Behnaz Goudarzi | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 4460 Doncaster Dr, Ellicott City, MD 21043-6797 |
| David C Moses | Nuclear Medicine | Medstar Medical Group Radiology LLC | 750 Chapel Ridge Rd, Timonium, MD 21093-1897 |
| Navid R Homayouni | Nuclear Medicine | Medstar Medical Group Radiology LLC | 70 I St Se, Apt 932, Washington, DC 20003-4833 |
| Kaustubh Subhash Yadwadkar | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Angela Denise Levy | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Sheil Y Shah | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Namik Haveric | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Street Address |
25500 POINT LOOKOUT RD |
| City | LEONARDTOWN |
| State | MD |
| Zip | 20650-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce R Gibson | Critical Care (intensivists) | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Thomas Jay Finkelston | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| William M Mahaffey | General Surgery | Healogics Specialty Physicians of Maryland LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Mary G Walter | Nurse Practitioner | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Kelly Petz | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Arie Neymotin | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Clyde W Pray | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Elizabeth H Deoreo | Psychiatry | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Ikenna Nwachukwu | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Marie Miller | Physician Assistant | Verghese and Ling M.d.p.a. | 26840 Point Lookout Rd, Leonardtown, MD 20650 |
| Sabrina A Sepulveda | Nurse Practitioner | 41630 Couthouse Dr, Leonardtown, MD 20650 | |
| Rhonda Cox | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Danielle Luray Guy | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Bonnie L Torres | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Jeremy Thurman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Lauren Snyder | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Aaron Bauer | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Richard S Hageman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Laura P Ward | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Find all physicians in zip 20650 | |||
| City | LEONARDTOWN |
| Zip Code | 20650 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LEONARDTOWN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jennifer 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.