MEDICARE: JOSEPH THOMAS JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	14436R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558338582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH THOMAS JR. MD

Provider Business Mailing Address
First Line	:	336 W GREENS DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-8947
Country	:	US
Telephone Number	:	225-276-9314
Fax Number	:	225-757-6618

Provider Business Practice Location Address
First Line	:	3600 FLORIDA BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3842
Country	:	US
Telephone Number	:	225-387-7603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/08/2007

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