| Dr J Thomas Do Mba Family Practice Pllc | |
|
655 Hershey Rd Hummelstown PA 17036-9243 | |
| (717) 566-3796 | |
| (717) 566-0576 |
| Full Name | Dr J Thomas Do Mba Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 655 Hershey Rd, Hummelstown, Pennsylvania |
| Authorized Official Name and Position | Joseph F Thomas (OWNER) |
| Authorized Official Contact | 3013352672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Thomas Do Mba Family Practice Pllc 655 Hershey Rd Hummelstown PA 17036-9243 Ph: (717) 566-3796 | Dr J Thomas Do Mba Family Practice Pllc 655 Hershey Rd Hummelstown PA 17036-9243 Ph: (717) 566-3796 |
| NPI Number | 1568248227 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 6507212248 |
|---|---|
| Medicare Enrollment ID | O20231101000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568248227 | NPI | - | NPPES |
| OS019840 | Other | PA | STATE BOARD OF OSTEOPATHIC MEDICINE |
| 26564268 | Other | PA | PENNSYLVANIA BMV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Franklin Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316459480 PECOS PAC ID: 5597021394 Enrollment ID: I20201023000090 |
| Provider Name | Shanda M Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003635400 PECOS PAC ID: 3476087685 Enrollment ID: I20241111003080 |
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