MICHELE M. THOMAS (NPI# 1326020041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326020041 |
| Entity Type | Individual |
| Full Name | MICHELE M. THOMAS |
| Credential | MD |
| Practice Address |
1040 N Mason Rd Ste 102 Saint Louis MO 63141-6399 |
| Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 3149963430 |
| Practice Fax Number | 3149963431 |
| Mailing Telephone | 3149963430 |
| Mailing Fax Number | 3149963431 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2005022502 | MO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2005022502 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036108858 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ESSENCE COLUMBIA IL | 000000013035 | 01 |
| IL | HEALTHLINK | 617915 | 01 |
| MO | MERCY | H45950 | 01 |
| MO | 1326020041 | 05 | |
| IL | BLUE SHIELD | 08221955 | 01 |
| IL | AETNA | 7177512 | 01 |
| MO | ESSENCE | 000000012859 | 01 |
| IL | 376020408401 | 05 | |
| IL | UHC | 0107929 | 01 |
| IL | GHP | 265231 | 01 |
| IL | BCBS | 202018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306343058 | Michele Marlene Thomas | Driver | 1737 Undercliff Ave Ph, Bronx, NY 10453-6737 | 2018-04-10 |
| 1841404076 | Michele Lee Thomas | Home Health Aide | 374 Washington Avenue, Barberton, OH 44203 | 2007-05-09 |
| 1902862436 | Michele Thomas | Obstetrics & Gynecology | 29255 Northwestern Hwy Ste 301, Southfield, MI 48034 | 2006-04-24 |
| 1528066289 | Michele L Thomas | Pharmacist | 1220 Bank St, Jefferson Bldg., Room 819, Richmond, VA 23219-3645 | 2005-07-07 |
| 1407391873 | Michele Thomas | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-12-21 |
| 1508123530 | Michele Mary Thomas | Registered Nurse | 42 Huskie Lane, Malone, NY 12953 | 2012-04-16 |
| 1679714919 | Michele C Thomas | Social Worker | 1270 Doris Rd, Auburn Hills, MI 48326-2617 | 2009-03-17 |
| 1538193958 | Michele M Thomas | Internal Medicine | 817 Princeton Ave Sw, Pob 2 Suite 210, Birmingham, AL 35211-1333 | 2006-07-10 |
| 1144258112 | Michele Lee Thomas | Counselor | 639 Luzerne St, Johnstown, PA 15905-2327 | 2006-06-29 |
| 1700822848 | Michele D Thomas | Colon & Rectal Surgery | 34434 King Street Row, Suite 2, Lewes, DE 19958-4787 | 2006-06-20 |
| Street Address |
1040 N MASON RD STE 102 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238917 | Katharine Louise Cella | Nurse Practitioner | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2019-01-08 |
| 1629552138 | Viktoria Meier | Nurse Practitioner | 1040 N Mason Rd, Ste 206, Saint Louis, MO 63141-6399 | 2018-09-20 |
| 1881108413 | Sarah Rebecca Hartmann | Nurse Practitioner | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2017-11-17 |
| 1396186573 | Rachael Jeanette Mangiore | Audiologist | 1040 N Mason Rd, Ste 123, Saint Louis, MO 63141-6399 | 2013-07-16 |
| 1497019897 | Maureen Danielle Lyons | Internal Medicine | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2012-06-29 |
| 1790050268 | Amy Lynn Lee | Nurse Practitioner | 1040 N Mason Rd, Saint Louis, MO 63141-6399 | 2012-03-17 |
| 1053690537 | Heidi Hope Tastet | Family Medicine | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2011-08-15 |
| 1831498997 | Karry Louise Brim | Physician Assistant | 1040 N Mason Rd, Saint Louis, MO 63141-6399 | 2011-03-15 |
| 1568792539 | Melissa Korenblat-hanin | Social Worker | 1040 N Mason Rd, Suite 115, Saint Louis, MO 63141-6399 | 2010-01-13 |
| 1992944904 | Mary Elizabeth King Johnson | Physician Assistant | 1040 N Mason Rd, Suite 103, Saint Louis, MO 63141-6399 | 2009-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986541 | Pain Relief Center of St Louis LLC | Family Medicine | 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 | 2019-11-12 |
| 1720635329 | Mercy Clinic East Communities | Family Medicine | 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 | 2019-08-20 |
| 1063066777 | Isabella Citizens for Health, Inc. | Family Medicine | 312 Union St, Saint Louis, MI 48880-1830 | 2019-07-31 |
| 1043864010 | Isabella Citizens for Health, Inc. | Family Medicine | 113 E Saginaw St, Saint Louis, MI 48880-1755 | 2019-07-29 |
| 1558896969 | Shivani Sockanathan | Family Medicine | 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 | 2017-04-23 |
| 1598299646 | Kharole Compere | Family Medicine | 175 N Oaks Plz, Saint Louis, MO 63121-2925 | 2017-04-16 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1144608035 | Daniel Urcuyo | Family Medicine | 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 | 2015-05-11 |
| 1376958728 | Jamil Neme | Family Medicine | 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 | 2014-06-24 |
| 1144633819 | Perini Shah | Family Medicine | 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 | 2014-06-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.