Dr. Keith Jay Thomas
Surgery

Address: 170 Ford Rd, John Day, OR 97845-2009
Phone: 5415751311

Dr. Keith Jay Thomas (NPI# 1184792509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1184792509
Entity Type Individual
Full Name Dr. Keith Jay Thomas
Credential M.D.
Gender Male
Practice Address 170 Ford Rd
John Day
OR 97845-2009
Practice Telephone 5415751311
Mailing Address Po Box 5
John Day
OR 97845-0005
Mailing Telephone 5415750499
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-12-01
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208600000X Surgery Allopathic & Osteopathic Physicians C51666 CA
Yes 208600000X Surgery Allopathic & Osteopathic Physicians MD26271 OR

Other Provider Identifier

State Identifier Issuer Type Code
OR 027967 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1982260287 Keith L Thomas Home Health 10897 Canyon Hill Ln, San Diego, CA 92126-2051 2019-05-13
1629558119 Keith Thomas Pharmacist 1341 Wright Ave, Alma, MI 48801-1134 2018-08-15
1235687427 Keith Thomas Counselor 3400 S Washington Rd, Saginaw, MI 48601-4958 2016-09-15
1689048514 Keith Thomas Case Manager/Care Coordinator 4020 Folker St, Anchorage, AK 99508-5321 2015-11-16
1669880035 Keith Chris Thomas Case Manager/Care Coordinator 7 Prospect St, Nashua, NH 03060 2014-07-29
1225454580 Keith Thomas Physical Therapist 2807 Greystn Com Blvd, Suite 34, Birmingham, AL 35242-9600 2014-03-11
1881995835 Keith Milan Thomas Counselor 725 Washburn Way, Klamath Falls, OR 97603-3730 2010-11-08
1669781159 Keith Richard Thomas Pharmacist 5960 Fm 1103, New Braunfels, TX 78132-4820 2010-09-30
1295785822 Keith D Thomas Anesthesiology 811 E Parrish Ave, Owensboro, KY 42303-3258 2006-05-12

Physician Overview

NPI 1184792509
PAC ID by PECOS 7113946740
Professional Enrollment ID I20051208000565
Full Name Keith Thomas
Organization Legal Name BLUE MOUNTAIN HOSPITAL DISTRICT
Phone Number 5415751311
Gender M
Credential MD
Medical School SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1987
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 5193719219
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
381305 BLUE MOUNTAIN HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 60%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 60%

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386168029 Northwest Minimally Invasive Surgery, LLC Surgery 2222 Nw Lovejoy St Ste 322, Portland, OR 97210-5101 2017-08-02
1366897399 Andreas Hennig Surgery 783 Nw Naito Pkwy Apt 502, Portland, OR 97209-4755 2016-04-27
1366809048 Mid-columbia Medical Center Surgery 1810 E. 19th St. #225, The Dalles, OR 97058 2016-01-26
1972983781 Horizon Surgery Clinic Surgery 6542 Se Lake Rd Ste 101, Milwaukie, OR 97222-2245 2015-06-05
1871989467 Cameron Cangelose Surgery 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239-3098 2015-04-09
1396157962 Fernando Leon Surgery 2221 Sw First Ave Apt 2322, Portland, OR 97201-5023 2014-05-29
1114337466 Thomas B Knowles Surgery 1130 Nw 22nd Ave Ste 500, Portland, OR 97210-2976 2014-05-07
1861811770 Peter Andrew Sweeny Surgery 705 Elm St Sw Ste 300, Albany, OR 97321-1958 2014-04-08
1811310063 George Craig Merhoff Sr. Surgery 6090 Sunset Ridge Rd, Klamath Falls, OR 97601-9386 2014-01-23
1659714160 Sean Tyler Watters Surgery 5050 Ne Hoyt St Ste 651, Portland, OR 97213 2013-04-15
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Office Location

Street Address 170 FORD RD
City JOHN DAY
State OR
Zip Code 97845-2009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992812754 Sarah Russ Physical Therapist 170 Ford Rd, John Day, OR 97845 2006-08-25
1912509829 James Roland Cook Nurse Practitioner 170 Ford Rd, John Day, OR 97845-2009 2020-11-16
1215424122 April D. Bieber Physician Assistant 170 Ford Rd, John Day, OR 97845-2009 2018-04-16
1710381066 Nora A Healey Nurse Practitioner 170 Ford Rd, John Day, OR 97845-2009 2014-10-15
1285040295 Anne Walkwitz Social Worker 170 Ford Rd, John Day, OR 97845-2009 2014-07-10
1942507090 Kaona R Martell Physical Therapist 170 Ford Rd, John Day, OR 97845-2009 2011-02-24
1558592360 Ginger A Vaughn Family Medicine 170 Ford Rd, John Day, OR 97845-2009 2009-07-29
1073726949 Deborah Ann Elster Physical Therapist 170 Ford Rd, John Day, OR 97845-2009 2007-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174163356 Erika Nichole Adams Nurse Practitioner 180 Ford Rd., John Day, OR 97845 2020-01-15
1427526433 Steven Duane Baldwin Counselor 60483 Highway 26, John Day, OR 97845 2018-11-07
1720323835 Community Counseling Solutions Psychiatric Residential Treatment Facility 194 Ford Road, John Day, OR 97845 2012-11-29
1669786174 Emily A Lieuallen Family Medicine Strawberry Wilderness Clinic, 180 Ford Rd., John Day, OR 97845 2010-07-27
1790945707 Joe Nelson Boyer Counselor 528 E Main Suite W, John Day, OR 97845 2008-06-12
1326231440 Patricia Lynn Wright Case Manager/Care Coordinator 528 E Main, Suite W, John Day, OR 97845 2007-08-22
1417092271 Virginia L Mcmillian Dentist 150 Ogilvie Dr, John Day, OR 97845 2007-02-20
1144329863 Grant County Center for Human Development Counselor 528 East Main St, Suite W, John Day, OR 97845 2006-09-21
1871596841 Bennette Edward Norton IIi Family Medicine 180 Ford Road, John Day, OR 97845 2005-05-24
1639363724 Russell John Comer Counselor 528 E Main, Suite W, John Day, OR 97845 2007-08-31
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Competitor

Search similar providers

City JOHN DAY
Zip Code 97845

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.