Provider Demographics
NPI:1992371074
Name:ANDREW J THOMAS MD INC
Entity Type:Organization
Organization Name:ANDREW J THOMAS MD INC
Other - Org Name:SIERRA NEVADA SINUS CENTER AND ENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-410-0368
Mailing Address - Street 1:123 MARGARET LN STE C1
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5268
Mailing Address - Country:US
Mailing Address - Phone:530-410-0368
Mailing Address - Fax:530-410-0864
Practice Address - Street 1:123 MARGARET LN STE B1
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5268
Practice Address - Country:US
Practice Address - Phone:530-410-0368
Practice Address - Fax:530-410-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-31
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty