DR. ROBERT B. THOMASON III (NPI# 1912967712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912967712 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B. THOMASON III |
| Credential | M.D. |
| Practice Address |
2827 Lyndhurst Ave Suite 203 Winston Salem NC 27103-4145 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3367948624 |
| Practice Fax Number | 3362318845 |
| Mailing Telephone | 3367948624 |
| Mailing Fax Number | 3362318845 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 29966 | NC | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
29966 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEA NUMBER | BT0354592 | 01 |
| NC | 8982803 | 05 | |
| VA | 1912967712 | 05 | |
| NC | NC LICENSE | 29966 | 01 |
| Street Address |
2827 LYNDHURST AVE SUITE 203 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481685 | Claude Raymond Workman | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2006-03-22 |
| 1902219447 | Keith Bond | Physician Assistant | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2014-06-03 |
| 1740626746 | Jean Young Goff | Physician Assistant | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2013-05-16 |
| 1508106691 | Novant Medical Group Inc | Surgery | 2827 Lyndhurst Ave, Suite 206, Winston Salem, NC 27103-4145 | 2013-02-26 |
| 1255670014 | Novant Medical Group Inc | Surgery | 2827 Lyndhurst Ave, Suite 201, Winston Salem, NC 27103-4145 | 2013-02-13 |
| 1720327729 | Novant Medical Group Inc | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2013-02-11 |
| 1902089345 | Shawn Howard Fleming | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2007-12-07 |
| 1215119151 | Phillip Schmitz Moore | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2007-12-03 |
| 1447318332 | Charles B Campbell | Ophthalmology | 2827 Lyndhurst Ave, Suite 204, Winston Salem, NC 27103-4145 | 2006-12-05 |
| 1447333240 | Brian Paul Burkhart | Audiologist | 2827 Lyndhurst Ave, Winston Salem, NC 27103-4145 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1427315878 | Novant Medical Group, Inc | Surgery | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2012-04-23 |
| 1114250354 | Novant Medical Group, Inc. | Surgery | 2915 Lyndhurst Ave, Winston Salem, NC 27103-4005 | 2009-09-04 |
| 1992947808 | Matthew Patrick Goldman | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-03-24 |
| 1649431628 | Justin Hurie | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-06-22 |
| 1164600284 | Gabriela Velazquez Ramirez | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-01-31 |
| 1235312679 | Ross Davis | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-12-07 |
| 1730127614 | Julie A Freischlag | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-06-03 |
| 1144286923 | Salem Surgical Assocs Pa | Surgery | 2915 Lyndhurst Ave, Winston Salem, NC 27103-4005 | 2006-04-21 |
| 1215912258 | William B Newton IIi | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
| 1477535599 | Richard Henry Dean | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-15 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on DR. ROBERT B. THOMASON III.
| 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.