MEDICARE: MR. CORY THOMAS

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
1	172A00000X	Driver	RU784953	OH

General Provider Information

NPI Number	:	1366273476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CORY THOMAS

Provider Business Mailing Address
First Line	:	1159 AVONDALE RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-2924
Country	:	US
Telephone Number	:	216-544-1579
Fax Number	:

Provider Business Practice Location Address
First Line	:	1159 AVONDALE RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-2924
Country	:	US
Telephone Number	:	216-544-1579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2024
Last Update Date	:	08/10/2024

Similar Medicare Providers

1326552332 — LATOYA OLIVE LSW
Practice Location Address:

8901 S EUCLID AVE
CHICAGO, IL
60617-2924

Practice Phone: 228-383-0876
Practice Fax:

1871124610 — ROSETTA FAIR
Practice Location Address:

21200 MORRIS AVE
EUCLID, OH
44123-2924

Practice Phone: 216-209-6429
Practice Fax:

1730132051 — DR. DOUGLAS S KUEHN M.D.
Practice Location Address:

121 S SAINT LOUIS BLVD
SOUTH BEND, IN
46617-2924

Practice Phone: 574-233-3123
Practice Fax: 574-233-3125

1770536815 — X-RAY CONSULTANTS INC
Practice Location Address:

121 S SAINT LOUIS BLVD
SOUTH BEND, IN
46617-2924

Practice Phone: 574-233-3123
Practice Fax: 574-233-3125

1992751630 — MICHAEL S MCCREA M.D.
Practice Location Address:

121 S SAINT LOUIS BLVD
SOUTH BEND, IN
46617-2924

Practice Phone: 574-233-3123
Practice Fax: 574-233-3125

1912953795 — DR. TOBIN J MATHEWS M.D.
Practice Location Address:

121 S SAINT LOUIS BLVD
SOUTH BEND, IN
46617-2924

Practice Phone: 574-233-3123
Practice Fax: 574-233-3125

Directions to “ MR. CORY THOMAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.