MEDICARE: CHRISTOPHER WAYNE THOMAS M.D.

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	207Q00000X	Family Medicine Physician	175013	NY

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	:	1548256167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WAYNE THOMAS M.D.

Provider Business Mailing Address
First Line	:	200 BROAD ST
Second Line	:
City	:	SCHUYLERVILLE
State	:	NY
Zip	:	12871-1024
Country	:	US
Telephone Number	:	518-695-3668
Fax Number	:	518-695-3614

Provider Business Practice Location Address
First Line	:	11 HAMPSTEAD PL N STE 103
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5669
Country	:	US
Telephone Number	:	518-583-7400
Fax Number	:

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	05/25/2021

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