MEDICARE: DR. ROBIN A 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	207R00000X	Internal Medicine Physician	34.005534	OH

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	:	1912955808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN A THOMAS D.O.

Provider Business Mailing Address
First Line	:	PO BOX 74130
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-0218
Country	:	US
Telephone Number	:	216-383-6480
Fax Number	:	216-383-6745

Provider Business Practice Location Address
First Line	:	27100 CHARDON RD
Second Line	:
City	:	RICHMOND HTS
State	:	OH
Zip	:	44143-1116
Country	:	US
Telephone Number	:	216-383-0100
Fax Number	:	216-383-6481

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. ROBIN A THOMAS D.O.” Practice Location

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