Provider Demographics
NPI:1588666028
Name:THOMAS, JASON P (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:P
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:247 MOREWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1861
Mailing Address - Country:US
Mailing Address - Phone:412-622-0290
Mailing Address - Fax:412-681-7605
Practice Address - Street 1:2626 HAYMAKER RD FL 2
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3516
Practice Address - Country:US
Practice Address - Phone:412-373-4411
Practice Address - Fax:412-373-4677
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2020-10-16
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Provider Licenses
StateLicense IDTaxonomies
PAMD061535L207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100965526Medicaid
PA080421SDBMedicare PIN
PAH20484Medicare UPIN