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CLARENCE H THOMAS MD LLC NPI 1619074812


NPI Information

NPI: 1619074812
Provider Name: CLARENCE H THOMAS MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6021 KENTUCKY AVENUE
INDIANAPOLIS, IN
ZIP 46221
Phone: (317) 856-5565
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CLARENCE H THOMAS MD LLC is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLARENCE H THOMAS MD LLC NPI is 1619074812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6021 KENTUCKY AVENUE
INDIANAPOLIS, IN
ZIP 46221
Phone: (317) 856-5565
Fax: (317) 856-1202

The provider's authorized official is Clarence Henry Thomas .
The authorized official title is Owner and has the following contact phone number (317) 856-5565.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C24317MEDICARE UPININDIANA
2233820MEDICARE PININDIANA
3000000384605OTHERINDIANAANTHEM
4200365090MEDICAIDINDIANA

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: 11/14/2023

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