Healthcare Provider Details

I. General information

NPI: 1770849317
Provider Name (Legal Business Name): TRISHA LYNN THOMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRISHA THOMSPSON

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 S CRESCENT DR
MASON CITY IA
50401-2926
US

IV. Provider business mailing address

250 S CRESCENT DR
MASON CITY IA
50401-2926
US

V. Phone/Fax

Practice location:
  • Phone: 641-494-5380
  • Fax: 641-494-5381
Mailing address:
  • Phone: 641-494-5400
  • Fax: 641-494-5403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberMD44577
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: