Provider Demographics
NPI:1609804996
Name:THOMAS, HERBERT J III (MD)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:J
Last Name:THOMAS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 E HAMPDEN AVE
Mailing Address - Street 2:# 140
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2791
Mailing Address - Country:US
Mailing Address - Phone:720-556-5044
Mailing Address - Fax:844-788-2901
Practice Address - Street 1:499 E HAMPDEN AVE
Practice Address - Street 2:# 140
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2791
Practice Address - Country:US
Practice Address - Phone:720-556-5044
Practice Address - Fax:844-778-2901
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
CO22630207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO438909Medicare UPIN
KS200550680BMedicaid
CO259274YK6VMedicare PIN
COPP01141086Medicare PIN
NE1245556091Medicaid
CO01226307Medicaid
D6498Medicare PIN