David Lashore Thomas
Peer Specialist in Berea, OH. Individual provider (NPI-1).
NPI number1104425883
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1104425883
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Lashore Thomas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
55 W Bagley RdBerea, OH 44017-1916
Phone 216-762-2902
Mailing address
55 W Bagley RdBerea, OH 44017-1916
Phone 216-762-2902
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Peer Specialist providers in Berea · All 659 providers in Berea
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