KISHA DENISE THOMAS (NPI# 1962728915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962728915 |
| Entity Type | Individual |
| Full Name | KISHA DENISE THOMAS |
| Credential | MD |
| Practice Address |
7207 Golden Wings Rd Ste 100 Jacksonville FL 32244-3324 |
| Mailing Address |
1100 Reid Pkwy Medical Staff Services Richmond IN 47374-1157 |
| Practice Telephone | 9043891010 |
| Practice Fax Number | 9043891082 |
| Mailing Telephone | 7659358902 |
| Mailing Fax Number | 7659833219 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 01075431A | IN | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME137547 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201305360 | 05 | |
| IN | ANTHEM | 000000947766 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366779951 | Kisha P Thomas | Counselor | 217 Arrowhead Blvd, Suite A-4, Jonesboro, GA 30236 | 2009-11-03 |
| 1023537230 | Kisha Marie Thomas | Counselor | 1799 Stumpf Blvd, Terrytown, LA 70056-3950 | 2017-09-19 |
| Street Address |
7207 GOLDEN WINGS RD STE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558339374 | Douglas E Boler | Anesthesiology | 7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244-3324 | 2006-03-08 |
| 1790225522 | Chelsea Bugg | Physician Assistant | 7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244-3324 | 2017-02-27 |
| 1801245725 | Melburn Garrett | Physician Assistant | 7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244 | 2016-06-10 |
| 1457490831 | Cheryl Knight | Physician Assistant | 7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244-3324 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1316179245 | Advanced Pain Management Clinic, LLC | Anesthesiology | 5757 Booth Road, Bldg 100, Jacksonville, FL 32207 | 2009-08-11 |
| 1639297328 | Reynaldo Pardo | Anesthesiology | 12078 San Jose Blvd Ste 2, Jacksonville, FL 32223-8671 | 2007-03-27 |
| 1144378514 | Cesar A Gorospe | Anesthesiology | 7240 San Pedro Rd, Jacksonville, FL 32217-3408 | 2007-01-08 |
| 1104922541 | Orlando Garay Florete Jr. | Anesthesiology | 4131 University Blvd S Ste 12, Jacksonville, FL 32216-4352 | 2006-09-15 |
| 1497711733 | Metropolitan Pain Management | Anesthesiology | 4063 Salisbury Road North, Suite 206, Jacksonville, FL 32216 | 2006-04-25 |
| 1639140866 | Patrick James Burns | Anesthesiology | 2700 Riverside Ave Ste 2, Jacksonville, FL 32205 | 2006-01-27 |
| 1912978149 | Christopher Roberts | Anesthesiology | 10475 Centurion Pkwy N Ste 201, Jacksonville, FL 32256-5004 | 2006-01-27 |
| 1144290677 | Jerry Richard Foltz II | Anesthesiology | 4796 Hodges Blvd, Suite 101-104, Jacksonville, FL 32224 | 2006-01-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32244 |
Please comment or provide details below to improve the information on KISHA DENISE THOMAS.
| 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.