Christina Michelle Thoma, MD | |
6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367-2665 | |
(636) 561-3021 | |
Not Available |
Full Name | Christina Michelle Thoma |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 6261 Ronald Reagan Dr Ste B19, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881124311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 81970 (Georgia) | Secondary |
207Q00000X | Family Medicine | 2023012823 (Missouri) | Primary |
Entity Name | Physician Groups Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Mailing Address | Practice Location Address |
---|---|
Christina Michelle Thoma, MD 6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367-2665 Ph: (636) 561-3021 | Christina Michelle Thoma, MD 6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367-2665 Ph: (636) 561-3021 |
Mary Sawlai Hoang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Stephanie Graham, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz Ste 107, Lake St Louis, MO 63367 Phone: 636-561-3396 | |
Dr. Tara Rognan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Scott K Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr, Ste B19, Lake St Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Dr. Brian M Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Jason B Vangundy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Thien-an Hoang, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plz, Ste 101, Lake St Louis, MO 63367 Phone: 636-561-4100 Fax: 636-561-8445 |