Provider Demographics
NPI:1689648370
Name:THOMAS, CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 SAINT VINCENTS DR STE 300
Mailing Address - Street 2:POB III
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1612
Mailing Address - Country:US
Mailing Address - Phone:205-939-4512
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:833 SAINT VINCENTS DR STE 300
Practice Address - Street 2:POB III
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1612
Practice Address - Country:US
Practice Address - Phone:205-939-4512
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD00013107207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL110141627OtherRRMCR PROVIDER NUMBER
AL000034627Medicaid
AL051034627OtherBCBS PROVIDER NUMBER
C74202Medicare UPIN
AL051034627OtherBCBS PROVIDER NUMBER