Provider Demographics
NPI:1558393470
Name:THOMAS, JOHN S (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:121 N 20TH ST
Mailing Address - Street 2:BLDG 3
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-5449
Mailing Address - Country:US
Mailing Address - Phone:334-745-6271
Mailing Address - Fax:334-742-9879
Practice Address - Street 1:121 N 20TH ST
Practice Address - Street 2:BLDG 3
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5449
Practice Address - Country:US
Practice Address - Phone:334-745-6271
Practice Address - Fax:334-742-9879
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00012101208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000080792Medicaid
AL020021630OtherRAILROAD MEDICARE
AL51080792OtherBLUE CROSS-BLUE SHIELD
AL51080792OtherBLUE CROSS-BLUE SHIELD
AL000080792Medicaid