Provider Demographics
NPI:1689788531
Name:THOMAS, L. MARTHA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:L. MARTHA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LATONA MARTHA
Other - Middle Name:ANN
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2345
Mailing Address - Fax:
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019947E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD018745300Medicaid
PA50069430OtherCAPITAL BLUE CROSS-WMG
PA3168158OtherMAMSI-WMG
PA212637OtherUNISON-WMG
PA212644OtherUNISON-YH
PA413171OtherHIGHMARK BLUE SHIELD
PA8413OtherGEISINGER
PA20063010OtherAMERIHEALTH MERCY-WMG
PA000890997Medicaid
PA1545481OtherGATEWAY
PA20063011OtherAMERIHEALTH MERCY-YH
PA246975OtherUNISON-WMG MFM
PA4598419OtherAETNA
PA30136945OtherAMERIHEALTH MERCY-YHOBGYN
PA50069428OtherCAPITAL BLUE CROSS-YH
MD897658OtherCAREFIRST MD BCBS
PA50079753OtherCAPITAL BLUE CROSS-WMG-MFM
PA000890997Medicaid
PA413171OtherHIGHMARK BLUE SHIELD
PA413171FLTMedicare PIN