Provider Demographics
NPI:1972522373
Name:KREBS, THOMAS ALLEN (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:ALLEN
Last Name:KREBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:412 W MARKET ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:PA
Practice Address - Zip Code:17842-1076
Practice Address - Country:US
Practice Address - Phone:570-837-6163
Practice Address - Fax:570-837-7224
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040846E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4242799OtherBLUE SHIELD
PA01803702OtherKEYSTONE
PA6149C3AFOtherGEISINGER
PA01803702OtherBLUE CROSS
PA118438706OtherDEPARTMENT OF LABOR
PAP00097473OtherRAILROAD MEDICARE
PA232809429OtherTRICARE
PA0011713700003Medicaid
PAE52788OtherHEALTH AMERICA
PAE52788Medicare UPIN
PA01803702OtherBLUE CROSS