Provider Demographics
NPI:1255836532
Name:THOMAS, EMILY E (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:330 N WABASH AVE STE G-20
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-2605
Mailing Address - Country:US
Mailing Address - Phone:765-660-7616
Mailing Address - Fax:502-852-0066
Practice Address - Street 1:441 N WABASH AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-2690
Practice Address - Country:US
Practice Address - Phone:765-662-6900
Practice Address - Fax:765-662-4528
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01086195A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine