DEREK TIMOTHY THOMAS (NPI# 1548759699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548759699 |
| Entity Type | Individual |
| Full Name | DEREK TIMOTHY THOMAS |
| Practice Address |
3055 S State Route 100 Tiffin OH 44883-8868 |
| Mailing Address |
184 E Market St Tiffin OH 44883-2853 |
| Practice Telephone | 4194471444 |
| Mailing Telephone | 2102187969 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
166425 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 166425 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871605048 | Derek R Thomas | Internal Medicine | 213 W Hampton Ave, Sumter, SC 29150-4911 | 2006-08-31 |
| 1215241401 | Derek C Thomas | Nurse Anesthetist, Certified Registered | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2010-07-30 |
| 1508187683 | Derek Thomas | Internal Medicine | 15990 Medical Dr S, Findlay, OH 45840-8894 | 2010-06-12 |
| 1053642678 | Derek Thomas | Occupational Therapy Assistant | 6700 Highway 165 N, Monroe, LA 71203-8753 | 2010-01-21 |
| 1285626788 | Derek J Thomas IIi | Orthopaedic Surgery | 725 Cherrington Pkwy, Ste 200, Moon Township, PA 15108-4318 | 2005-08-19 |
| Street Address |
3055 S STATE ROUTE 100 |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883-8868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088284 | Tailor Dawn Nye | Counselor | 3055 S State Route 100, Tiffin, OH 44883-8868 | 2020-06-18 |
| 1962053355 | Alyssa Rose Palmer | Counselor | 3055 S State Route 100, Tiffin, OH 44883-8868 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1003332826 | Maureen Elizabeth Harford | Counselor | 3091 S State Route 100, Tiffin, OH 44883-8868 | 2017-08-15 |
| 1568792323 | Julie Ann Williams | Counselor | 76 Ashwood Rd, Tiffin, OH 44883-1908 | 2009-12-30 |
| 1568088284 | Tailor Dawn Nye | Counselor | 3055 S State Route 100, Tiffin, OH 44883-8868 | 2020-06-18 |
| 1962053355 | Alyssa Rose Palmer | Counselor | 3055 S State Route 100, Tiffin, OH 44883-8868 | 2019-09-26 |
| 1740743863 | Jami Sue Opp | Counselor | 65 Saint Francis Ave, Tiffin, OH 44883-3413 | 2019-04-08 |
| 1457847527 | Nichole Hartson | Counselor | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2018-07-02 |
| 1619462306 | Montrel Moss | Counselor | 76 Ashwood Dr, Tiffin, OH 44883 | 2018-06-26 |
| 1437669017 | Tiffany Kayla Bragg | Counselor | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2017-10-09 |
| 1619494481 | Alaina M Smith | Counselor | 2550 S State Route 100, Tiffin, OH 44883-9356 | 2017-08-23 |
| Find all providers in TIFFIN | ||||
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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.