MEDICARE: THOMAS DERMATOLOGY

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	207ND0101X	MOHS-Micrographic Surgery Physician
2	174400000X	Specialist	036119939	IL
3	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1922279496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS DERMATOLOGY

Provider Business Mailing Address
First Line	:	9097 W POST RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2417
Country	:	US
Telephone Number	:	702-430-5333
Fax Number	:	702-430-5335

Provider Business Practice Location Address
First Line	:	9097 W. POST RD #100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148
Country	:	US
Telephone Number	:	702-430-5333
Fax Number	:	702-430-5335

Authorized Official
Title or Position	:	MD
Name	:	DOUGLAS THOMAS
Credential	:
Telephone Number	:	702-430-5333

Provider Enumeration Date	:	03/12/2008
Last Update Date	:	05/13/2026

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Directions to “THOMAS DERMATOLOGY ” Practice Location

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