Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 98100717 | NC |
NPI | 1023098506 |
---|---|
Provider Name | Michael John Thomas |
First Address | Raleigh, NC 27612-8005 |
Second Address | Raleigh, NC 27612-8005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 08/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11356 | BLUE CROSS BLUE SHIELD (01) | NC |
1511377 | CIGNA (01) | NC |
182315 | MEDCOST (01) | NC |
202561319 | UNITED HEALTH CARE (01) | NC |
202561319 | WELLPATH (01) | NC |
4480479 | AETNA (01) | NC |
5901185 | (05) | NC |
F78368 | (02) | NC |