Provider Demographics
NPI:1184107054
Name:SCOTT A THOMAS MD PC
Entity type:Organization
Organization Name:SCOTT A THOMAS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-863-1231
Mailing Address - Street 1:1601 E. 19TH AVENUE
Mailing Address - Street 2:SUITE 3450, ROOM 3
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1219
Mailing Address - Country:US
Mailing Address - Phone:303-863-1231
Mailing Address - Fax:303-869-2085
Practice Address - Street 1:1601 E. 19TH AVENUE
Practice Address - Street 2:SUITE 3450, ROOM 3
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1219
Practice Address - Country:US
Practice Address - Phone:303-863-1231
Practice Address - Fax:303-869-2085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty