Individual
GORDON M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
79 NORTH ST, GRANVILLE FAMILY HEALTH CENTER, GRANVILLE, NY 12832-1137
(518) 642-0612
(518) 642-0693
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-0304
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
140385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00467116
—
NY
01
—
P00312976
RR MEDICARE
NY
Enumeration date
05/12/2006
Last updated
06/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us