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NPI Code Detail

MEDICARE: JOHN MARTIN THOMAS MD

MEDICARE: JOHN MARTIN THOMAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01044009AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000197891OTHERINANTHEM PROVIDER NUMBER
29397551OTHERINPHCS PID NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336108034
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MARTIN THOMAS MD
Provider Business Mailing Address
First Line : PO BOX 5545
Second Line :
City : LAFAYETTE
State : IN
Zip : 47903-5545
Country : US
Telephone Number : 765-448-8000
Fax Number : 765-448-8257
Provider Business Practice Location Address
First Line : 1 WALTER SCHOLER DR
Second Line :
City : LAFAYETTE
State : IN
Zip : 47909-6303
Country : US
Telephone Number : 765-448-8000
Fax Number : 765-448-8257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 05/24/2011

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Directions to “ JOHN MARTIN THOMAS MD” Practice Location

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