Healthcare Provider Details

I. General information

NPI: 1447361555
Provider Name (Legal Business Name): DIANE FRANCES THOMAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/11/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12502 WILLOWBROOK RD STE 640
CUMBERLAND MD
21502-6579
US

IV. Provider business mailing address

2215 E BALTIMORE ST
BALTIMORE MD
21231-2002
US

V. Phone/Fax

Practice location:
  • Phone: 240-964-8944
  • Fax: 410-659-2817
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0064861
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberD0064861
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: