Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 9755 | MT |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 9755 | MT |
NPI | 1538103502 |
---|---|
Provider Name | Dr. Patrick J Thomas |
First Address | Great Falls, MT 59405-5183 |
Second Address | Great Falls, MT 59405-5183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000096311 | BLUE CROSS BLUE SHIELD (01) | MT |
0038029 | (05) | MT |
0165697 | WASHINGTON L&I (01) | MT |
184609700 | FEDERAL WORK COMP (01) | MT |
20041899 | RAILROAD MEDICARE (01) | MT |
810347861 | CHAMPUS (01) | MT |
810347861013 | EBMS (01) | MT |
F95720 | (02) | MT |