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JERRY MATHEW THOMAS
NPI 1205395126
Radiology - Pediatric Radiology in Philadelphia, PA

Active since March 19, 2019
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 590-7000 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2024, Mar 19, 2019 (2 updates tracked since 2019).

About Jerry Mathew Thomas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY MATHEW THOMAS (NPI 1205395126) is an individual pediatric radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT230461) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1205395126
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameJERRY MATHEW THOMAS
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address4445 Magnolia AveRiverside, CA 92501-4135
Phone(267) 590-7000
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1205395126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in PA · MT230461
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Thomas's NPI number?

The NPI number for Jerry Thomas is 1205395126. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Jerry Thomas located?

Jerry Thomas practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 590-7000.

What is Jerry Thomas's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

When was this NPI record last updated?

The NPPES record for Jerry Thomas was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.