Provider Demographics
NPI:1598938680
Name:JAMES CARTER THOMAS MD APC
Entity Type:Organization
Organization Name:JAMES CARTER THOMAS MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLANI
Authorized Official - Middle Name:L
Authorized Official - Last Name:LANGHOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-624-0200
Mailing Address - Street 1:1122 N IRWIN ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-2928
Mailing Address - Country:US
Mailing Address - Phone:559-584-4427
Mailing Address - Fax:
Practice Address - Street 1:1122 N IRWIN ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-2928
Practice Address - Country:US
Practice Address - Phone:559-584-4427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG246772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G246770Medicaid
CA00G246770Medicaid