DR. MICHELLE DENISE THOMAS (NPI# 1659370039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659370039 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE DENISE THOMAS |
| Credential | MD |
| Practice Address |
12172 Central Ave #100 Mitchellville MD 20721-1900 |
| Mailing Address |
Po Box 15609 Washington DC 20003-0609 |
| Practice Telephone | 3073905704 |
| Practice Fax Number | 3014647921 |
| Mailing Telephone | 3013905704 |
| Mailing Fax Number | 3014647921 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
073406 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101056850 | VA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD19906 | DC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | D41401 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST | 0003 | 01 | |
| MD | 384211100 | 05 | |
| MD | 348211100 | 05 | |
| CAREFIRST | 35198002 | 01 | |
| DEPT OF LABOR/FEDERAL WORKMAN'S COMP | 104768800 | 01 | |
| AETNA PPO | 4348841 | 01 | |
| AETNA HMO | 3112384 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1412 Milstead Ave Ne, Conyers, GA 300123877 | 7709183000 | 7709183104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992332357 | Michelle L Thomas | Registered Nurse | 5702 Youngstown Kingsville Rd, Cortland, OH 44410-9717 | 2020-03-25 |
| 1225661267 | Michelle Kelli Thomas | Nurse Practitioner | 48221 Farah Dr, Macomb, MI 48044-2010 | 2020-02-18 |
| 1154974772 | Michelle D Thomas | Licensed Practical Nurse | 34 Meadow Farm, North Chili, NY 14514-1333 | 2019-07-23 |
| 1366914772 | Michelle Thomas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2713 Colonial Dr, New Windsor, NY 12553-4925 | 2018-12-24 |
| 1588183362 | Michelle Thomas | Non-emergency Medical Transport (VAN) | 260 Chapman Rd Ste 201d, Newark, DE 19702-5491 | 2017-09-13 |
| 1689190977 | Michelle Renee Thomas | Pharmacist | 400 Celebration Pl Ste A110, Celebration, FL 34747-4970 | 2017-08-17 |
| 1710408455 | Michelle Lee Thomas | Dentist | 1879 Veterans Park Dr Ste 1203, Naples, FL 34109-0500 | 2017-07-03 |
| 1700323748 | Michelle Lee Thomas | Nurse Practitioner | 1123 Parkview Ct, Wixom, MI 48393-1582 | 2017-01-29 |
| 1992154835 | Michelle Thomas | Nurse Practitioner | 9974 N Kendall Dr, Apt# 1019, Miami, FL 33176-1779 | 2016-06-10 |
| 1528447356 | Michelle Thomas | Occupational Therapist | 1245 Intervale Ave, Bronx, NY 10459-1780 | 2015-05-26 |
| Street Address |
12172 CENTRAL AVE #100 |
| City | MITCHELLVILLE |
| State | MD |
| Zip Code | 20721-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548203722 | Rochelle Sargeant-hardy | Family Medicine | 12172 Central Ave, 100, Mitchellville, MD 20721-1900 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275789430 | Khanjan H Nagarsheth | Surgery | 419 W Redwood St Ste 240, Baltimore, MD 21201-7004 | 2008-08-07 |
| 1255597100 | John Robert Klune | Surgery | 22 South Greene St, Shock Trauma Center, Baltimore, MD 21401 | 2008-07-31 |
| 1952564395 | Jason Anthony Brocker | Surgery | 4940 Eastern Ave Bldg 5th, Baltimore, MD 21224-2735 | 2008-07-07 |
| 1508989807 | Ahmed M Ali | Surgery | 12307 Pleasant Prospect Rd, Bowie, MD 20721-2516 | 2007-04-09 |
| 1700415635 | University of Maryland St Joseph Foundation Inc | Surgery | 7601 Osler Dr, Towson, MD 21204-7700 | 2020-04-03 |
| 1235649526 | Johns Hopkins University | Surgery | 1800 Orleans St, Baltimore, MD 21287-0010 | 2017-10-02 |
| 1730509837 | Robert Anthony Laskowski II | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201-1544 | 2014-04-16 |
| 1164846077 | Rachel Leah Choron | Surgery | 600 N Wolfe Street, Zayed Suite 6107, Baltimore, MD 21287-0005 | 2014-02-12 |
| 1770926131 | Katherine Marie Kelley | Surgery | 22 S Greene St, Baltimore, MD 21201 | 2013-04-16 |
| 1396004719 | Meredith Elaine Sommerville | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-05-04 |
| Find all providers with the same taxonomy | ||||
| City | MITCHELLVILLE |
| Zip Code | 20721 |
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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.