Physician Compare National (NPI:1912005901)

HEALTHCARE PROVIDER: VALERIE THOMAS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1912005901
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678574910
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100219000334
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMAS
	Individual professional last name
Provider First Name	VALERIE
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DIABETES AND ENDOCRINOLOGY ASSOCIATES, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0749281087
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	400 BALD HILL RD
	Group Practice or individual's line 1 address
City	WARWICK
	Group Practice or individual's city
State	RI
	Group Practice or individual's state
Zip Code	028861617
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4019215272
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	410012
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE MIRIAM HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	410007
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RHODE ISLAND HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	410008
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTH COUNTY HOSPITAL INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	410005
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	OUR LADY OF FATIMA HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y