| Robert G Thomas, MD | |
|
2305 37th Ave Sw, Minot, ND 58701-7669 | |
| (701) 857-5000 | |
| Not Available |
| Full Name | Robert G Thomas |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 19 Years |
| Location | 2305 37th Ave Sw, Minot, North Dakota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720284508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | TRN 11700 (Florida) | Secondary |
| 207Y00000X | Otolaryngology | PT12428 (North Dakota) | Secondary |
| 207Y00000X | Otolaryngology | 12428 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Otolaryngology Pc | 1658380613 | 6 |
| Professional Therapies Of Roanoke, Inc. | 3375710619 | 176 |
| Entity Name | Advanced Otolaryngology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779215 PECOS PAC ID: 1658380613 Enrollment ID: O20060419000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert G Thomas, MD Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Robert G Thomas, MD 2305 37th Ave Sw, Minot, ND 58701-7669 Ph: (701) 857-5000 |
Dr. Ray Fontenot, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5986 Fax: 701-857-5029 | |
Sina Koochakzadeh, Otolaryngology Medicare: Medicare Enrolled Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-418-7530 Fax: 701-418-7531 | |
Dr. Robert L Fischer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5986 | |
Stephanie Rae Velimirovich, FNP Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw Ste 502, Minot, ND 58701 Phone: 701-418-7530 |