Healthcare Provider Details

I. General information

NPI: 1376180737
Provider Name (Legal Business Name): THOMAS & ASSOCIATES OB GYN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 BYPASS RD
WINCHESTER KY
40391-2387
US

IV. Provider business mailing address

2570 BYPASS RD
WINCHESTER KY
40391-2387
US

V. Phone/Fax

Practice location:
  • Phone: 859-744-0016
  • Fax:
Mailing address:
  • Phone: 859-744-0016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: RAMON N THOMAS
Title or Position: OWNER
Credential: MD
Phone: 859-744-0016