Provider Demographics
NPI:1467433458
Name:THOMS, JAMES MATHEW (SLP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MATHEW
Last Name:THOMS
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 DIAMOND SPRINGS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6601
Mailing Address - Country:US
Mailing Address - Phone:757-395-1975
Mailing Address - Fax:757-425-7180
Practice Address - Street 1:818 NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1116
Practice Address - Country:US
Practice Address - Phone:757-473-8016
Practice Address - Fax:757-473-3580
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004076235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11230838OtherCAQH
350034OtherOPTIMA GROUP
6400313OtherUNITED HEALTH CARE
35062OtherOPTIMA
541371436OtherMEDICAID GROUP
5275769OtherAETNA GROUP
465290OtherANTHEM BLUE CROSS
VA4980093Medicaid
4980093OtherVIRGINIA PREMIER HEALTH P
7653448OtherAETNA
VA9116460OtherMEDICAID DME
007328OtherANTHEM BLUE CROSS GROUP
541371436OtherUNITED HEALTH CARE GROUP
541371436OtherTRICARE CHAMPUS GROUP