| Joshua James Thom, MD | |
|
6401 University Ave Ne, Fridley, MN 55432-4341 | |
| (763) 586-5923 | |
| (763) 392-5604 |
| Full Name | Joshua James Thom |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 16 Years |
| Location | 6401 University Ave Ne, Fridley, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144453242 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 85990-20 (Wisconsin) | Secondary |
| 207Y00000X | Otolaryngology | 53216 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Fairview Bethesda Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua James Thom, MD 6401 University Ave Ne, Fridley, MN 55432-4341 Ph: (763) 586-5923 | Joshua James Thom, MD 6401 University Ave Ne, Fridley, MN 55432-4341 Ph: (763) 586-5923 |
Ian J Lalich, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 612-626-5900 Fax: 612-884-0659 | |
Dr. Daniel William Yoon, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fairview Fridley Clinic, Fridley, MN 55432 Phone: 763-572-5710 | |
Dr. Rolf N Skogerboe, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5888 |