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NPI Code Detail

MEDICARE: DR. MICHAEL D THOMAS M.D.

MEDICARE: DR. MICHAEL D THOMAS M.D.
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
1207X00000XOrthopaedic Surgery Physician11242NV
2207XP3100XPediatric Orthopaedic Surgery Physician11242NV

Other Identifiers

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

General Provider Information

NPI Number : 1568461812
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL D THOMAS M.D.
Provider Business Mailing Address
First Line : 7455 W WASHINGTON AVE
Second Line : #160
City : LAS VEGAS
State : NV
Zip : 89128-4337
Country : US
Telephone Number : 702-878-0393
Fax Number : 702-940-5601
Provider Business Practice Location Address
First Line : 7455 W WASHINGTON AVE
Second Line : #160
City : LAS VEGAS
State : NV
Zip : 89128-4337
Country : US
Telephone Number : 702-878-0393
Fax Number : 702-940-5601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 08/04/2015

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