MS. MEREDITH LEIGH THOMAS PA-C NPI 1093888224

NPI Information

NPI: 1093888224
Provider Name: MS. MEREDITH LEIGH THOMAS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1350 HICKORY ST
MELBOURNE, FL
ZIP 32901
Phone: (321) 434-1401
Get Directions

MS. Meredith Leigh Thomas, PA-C is a surgical physician assistant in Melbourne, FL. MS. Meredith Leigh Thomas, PA-C NPI is 1093888224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1350 HICKORY ST
MELBOURNE, FL
ZIP 32901-224
Phone: (321) 434-1401
Fax: (321) 434-1667

The NPI 1093888224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 5/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	232558	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical	PA04975	TEXAS	No
3	363AS0400X	Physician Assistant	Surgical	PA9115907	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	208057402	MEDICAID	TEXAS
2	208057401	MEDICAID	VIRGINIA
3	D07564	OTHER	TEXAS	MEDICARE RR PALMETTO
4	TXB149935	OTHER	TEXAS	PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
5	327288YV3C	OTHER	TEXAS	MEDICARE PTAN
6	891N49	OTHER	TEXAS	BCBS
7	273899YPWZ	OTHER	TEXAS	MEDICARE GROUP PTAN
8	QU188	OTHER	FLORIDA	HFPSI
9	DQ5280	OTHER	TEXAS	MEDICARE RR PALMETTO
10	QU189	OTHER	FLORIDA	HFMG
11	117865200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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