Provider Demographics
NPI:1124187810
Name:DAVID S THOMAS MD PA
Entity Type:Organization
Organization Name:DAVID S THOMAS MD PA
Other - Org Name:HARRIS REGIONAL CANCER CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-586-7610
Mailing Address - Street 1:PO BOX 2128
Mailing Address - Street 2:14 MEDICAL PARK LOOP
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2128
Mailing Address - Country:US
Mailing Address - Phone:828-586-7610
Mailing Address - Fax:828-586-7615
Practice Address - Street 1:14 MEDICAL PARK LOOP
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5221
Practice Address - Country:US
Practice Address - Phone:828-586-7610
Practice Address - Fax:828-586-7615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC011T7OtherBCBS OF NC
GA300017189AMedicaid
NC8982549Medicaid
92000Medicare PIN
NCC89271Medicare UPIN
NC011T7OtherBCBS OF NC
NC2336859Medicare PIN