Dr. Sam Thomas
Internal Medicine in Jacksonville, FL. Individual provider (NPI-1).
NPI number1386901809
StatusActive
Last updated in NPPESJan 3, 2019
Details
- NPI
- 1386901809
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sam Thomas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2012
- Last updated
- Jan 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME123547 | FL | Yes |
Other names
- Samuel Thomas (Professional Name)
Practice location
820 Prudential Dr Ste 304Jacksonville, FL 32207-8205
Phone 904-346-3649 · Fax 904-348-5627
Mailing address
Po Box 45443Salt Lake City, UT 84145-0443
Phone 904-202-1032 · Fax 904-376-4107
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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