MEDICARE: DR. JAMIE L. THOMAS D.O.

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	2085R0202X	Diagnostic Radiology Physician	OS013293	PA
2	2085R0204X	Vascular & Interventional Radiology Physician	OS013293	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376569087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE L. THOMAS D.O.

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	610-868-1100
Fax Number	:	610-868-1111

Provider Business Practice Location Address
First Line	:	3735 NAZARETH RD STE 206
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-8346
Country	:	US
Telephone Number	:	610-252-8281
Fax Number	:	610-253-5321

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	12/03/2025

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