JACK M THOMAS MD PLLC NPI 1003018359
Specialist in Greenville, TX
NPI Profile for JACK M THOMAS MD PLLC
Jack M Thomas Md Pllc is a provider established in Greenville, Texas specializing in specialist. The NPI number of Jack M Thomas Md Pllc is 1003018359 and was assigned on May 2007. The practitioner's primary taxonomy code is 174400000X with license number E4718 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. Jack M Thomas Md Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jack M Thomas Jr. Md (Owner)
| NPI | 1003018359 |
| Provider Name | JACK M THOMAS MD PLLC |
| Provider Location Address | 4101 WESLEY ST STE B GREENVILLE, TX 75401 |
| Provider Mailing Address | PO BOX 8452 GREENVILLE, TX 75404 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 05-31-2007 |
| Last Update Date | 07-02-2010 |
Primary Taxonomy
| Taxonomy Code | 174400000X |
| Classification | Specialist |
| Type | Other Service Providers |
| License No. | E4718 |
| License State | TX |
| Taxonomy Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Business Address
JACK M THOMAS MD PLLC
4101 WESLEY ST STE B
GREENVILLE, TX
ZIP 75401
Phone: (903) 454-7555
Fax: (903) 450-4420
Mailing Address
JACK M THOMAS MD PLLC
PO BOX 8452
GREENVILLE, TX
ZIP 75404
Phone: (903) 454-7555
Fax: (903) 450-4420
Group Taxonomy
193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 6219640001 | MEDICARE NSC (07) | TX |
| 00Y521 | MEDICARE PIN (08) | TX |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 8 | 3 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 16 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 1 + 6 + 3 + 1 + 0 + 24 = 41 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 41 = 9 | 9 | ||||||||
The NPI number 1003018359 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Jack M Thomas Md Pllc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.