=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295796381
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK V THOMAS MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/29/2006
-----------------------------------------------------
Last Update Date | 04/25/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 121 ST. LUKES CENTER DRIVE SUITE 502
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63017-3509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-275-7800
-----------------------------------------------------
Fax | 314-275-7801
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 121 SAINT LUKES CENTER DR SUITE 502
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63017-3509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-275-7800
-----------------------------------------------------
Fax | 314-275-7801
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 2004010786
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------