SAMUEL VELLIAMMACKAL THOMAS (NPI# 1114584455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114584455 |
| Entity Type | Individual |
| Full Name | SAMUEL VELLIAMMACKAL THOMAS |
| Credential | DO |
| Practice Address |
125 Executive Dr Ste H Danville VA 24541-4155 |
| Practice Telephone | 4347911345 |
| Practice Fax Number | 4347736811 |
| Mailing Telephone | 4347911345 |
| Mailing Fax Number | 4347736811 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0116033150 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093948283 | Samuel Dwane Thomas | Urology | 2 Wharfside St Apt 5e, Charleston, SC 29401-1653 | 2009-09-03 |
| 1720142938 | Samuel P Thomas | Dentist | 8040 S Virginia St, Ste 1, Reno, NV 89511-8951 | 2006-12-21 |
| 1295345270 | Samuel Lee Thomas | Dentist | 111 Peacock Court, Seymour, TN 37865 | 2020-08-05 |
| 1043786908 | Samuel Thomas | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-18 |
| 1801377163 | Samuel Keith Thomas | Physical Therapist | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-24 |
| 1225518855 | Samuel David Thomas | Counselor | 701 Jefferson Ave Ste 101, Toledo, OH 43604-6956 | 2018-08-14 |
| 1497285688 | Samuel Thomas | Physician Assistant | 2501 N Orange Ave Ste 340, Orlando, FL 32804-4601 | 2017-06-19 |
| 1679928378 | Samuel Crandall Thomas | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2016-04-30 |
| 1538588769 | Samuel Thomas | Orthopaedic Surgery | 4401 River Chase Dr, Phenix City, AL 36867 | 2014-04-15 |
| 1245517739 | Samuel Thomas Jr. | Pharmacist | 8450 Sw 24th St, Miami, FL 33155-2334 | 2011-11-10 |
| Street Address |
125 EXECUTIVE DR STE H |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285026062 | Kavita Tripathi | Family Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2015-03-03 |
| 1295359560 | Basima Hasan Khan | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2020-06-03 |
| 1891319174 | Conner Christian Kirkikis | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2020-06-03 |
| 1487278750 | Isaac Daniel Demke | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2020-06-03 |
| 1245854520 | Kevin Michael Lombardi | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2020-06-03 |
| 1265056485 | Peng Yin | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2020-06-03 |
| 1306460605 | Daniel Paul Carriger | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2020-06-02 |
| 1265056550 | Messanh Kokou Ameduite | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2020-06-02 |
| 1366009219 | Thomas Aquinas Garbarino Jr. | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2019-05-28 |
| 1811554827 | Chelsea Marie Dalfrey | Internal Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2019-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1245708767 | East Bay Premier Medical | Internal Medicine | 2090 Lusitano St, Danville, CA 94506-5022 | 2018-11-02 |
| 1528547247 | The James B. Haggin Memorial Hospital Inc | Internal Medicine | 105 Ponder Ct Ste 104, Danville, KY 40422-9050 | 2018-08-13 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1043662828 | Centra Health Professional Services, LLC | Internal Medicine | 414 Park Avenue, Danville, VA 24541-9998 | 2016-07-06 |
| 1467802264 | Philip Fischbacher | Internal Medicine | 696 San Ramon Valley Blvd, #101, Danville, CA 94526-4022 | 2016-06-13 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1073947917 | Waqas Nawaz | Internal Medicine | 209 S Crestwood Dr, Danville, PA 17821-8527 | 2013-08-28 |
| 1134563125 | Liberty Wellcare, Pllc | Internal Medicine | 216 Bluffwood Dr, Danville, KY 40422-9788 | 2013-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.