ABRAHAM THEKKANATTU THOMAS (NPI# 1982908695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982908695 |
| Entity Type | Individual |
| Full Name | ABRAHAM THEKKANATTU THOMAS |
| Other Name | ABRAHAM THOMAS THEKKANATTU |
| Credential | P.A.-C |
| Practice Address |
850 Oak St Frederick MD 21703-8442 |
| Mailing Address |
11406 Herefordshire Way Apartment 103 Germantown MD 20876-5554 |
| Practice Telephone | 3016988374 |
| Mailing Telephone | 2404162327 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | C0004293 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0004293 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063423655 | Abraham Thomas | Internal Medicine | 335 6th St E, Clifton, IL 60927 | 2006-08-10 |
| 1780610899 | Abraham G Thomas | Pain Medicine | 5420 West Loop S Ste 4300, Bellaire, TX 77401-2122 | 2006-06-23 |
| 1689957623 | Abraham Thomas | Pharmacist | 5300 N Braeswood Blvd, Houston, TX 77096-3307 | 2011-09-26 |
| 1326375775 | Abraham P. Thomas | Social Worker | 2534 Steinway St, Astoria, NY 11103-3702 | 2009-11-05 |
| 1982839593 | Abraham Chempakanallore Thomas | Radiology | 1500 E Medical Center Dr, Room Uh B1-d502, Ann Arbor, MI 48109-5000 | 2009-05-27 |
| 1134306566 | Abraham Palamootil Thomas | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2008-01-29 |
| 1770633588 | Abraham P. Thomas Jr. | Internal Medicine | 2155 Iron Point Rd, Folsom, CA 95630-8707 | 2007-01-12 |
| 1013067560 | Abraham Kanjappallil Thomas | Dentist | 5426 N Academy Blvd, Ste 202, Colorado Springs, CO 80918-3685 | 2007-01-10 |
| 1275619611 | Abraham Thomas | Pediatrics | 675 Broadway, Paterson, NJ 07514-1444 | 2006-10-28 |
| 1255356689 | Abraham Thomas | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2006-07-13 |
| Street Address |
850 OAK ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-8442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824200 | Purcell Bailey | Internal Medicine | 850 Oak St, Frederick, MD 21703-8442 | 2005-07-12 |
| 1992081509 | Florencia Z Erwin | Physician Assistant | 850 Oak St, Frederick, MD 21703-8442 | 2011-10-26 |
| 1659692119 | Jayne Stachewicz | Physician Assistant | 850 Oak St, Frederick, MD 21703-8442 | 2010-06-18 |
| 1174775704 | Rachel H. Ridgway | Physician Assistant | 850 Oak St, Frederick, MD 21702 | 2008-10-14 |
| 1982891073 | Deborah P. Zayas | Nurse Practitioner | 850 Oak St, Frederick Memorial Hospital Urgent Care, Frederick, MD 21703-8442 | 2007-10-02 |
| 1245294057 | Katherine Anderson | Physician Assistant | 850 Oak St, Frederick, MD 21703-8442 | 2006-04-17 |
| 1770551913 | Roger A Hoffman | Physician Assistant | 850 Oak St, Frederick, MD 21703-8442 | 2006-03-14 |
| 1043282189 | Sandra J. Parkinson | Family Medicine | 850 Oak St, Frederick, MD 21703-8442 | 2006-02-03 |
| 1821096918 | Christine Helinski | Internal Medicine | 850 Oak St, Frederick, MD 21703-8442 | 2005-07-12 |
| 1386640357 | Frederick Memorial Hospital Inc | Clinic/Center | 850 Oak St, Frederick, MD 21703-8442 | 2005-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801164066 | Atekelt Yilma Tadese | Physician Assistant | 46-b Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2011-12-02 |
| 1619121472 | Barbara S. Rebele | Physician Assistant | 22 S Market St, Suite 6d, Frederick, MD 21701-5570 | 2008-11-06 |
| 1790954253 | Robert Paul Cathor | Physician Assistant | 56 Thomas Johnson Drive, Ste 110, Frederick, MD 21702-4599 | 2008-02-28 |
| 1598946006 | Justina A Bennett | Physician Assistant | 85 Thomas Johnson Ct, Suite C, Internal Medicine Specialists of Frederick, Frederick, MD 21702 | 2007-11-27 |
| 1104809342 | Tara Carson Jernejcic | Physician Assistant | 100 South Market Street, Frederick Community Action Agency, Frederick, MD 21701 | 2005-11-22 |
| 1376001214 | Lewis Edel Bertus | Physician Assistant | 610 Solarex Ct, Frederick, MD 21703-8624 | 2019-03-11 |
| 1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
| 1861867459 | Kelly Murray | Physician Assistant | 915 Toll House Ave Ste 103, Frederick, MD 21701-5911 | 2015-12-08 |
| 1295142388 | Rebecca Alyson Leonard | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2014-07-21 |
| 1912332123 | Brittany Leigh Henry | Physician Assistant | 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 | 2013-09-06 |
| Find all providers in FREDERICK | ||||
Please comment or provide details below to improve the information on ABRAHAM THEKKANATTU 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.