Lisha Thomas

MD | Pediatric Cardiology | Female

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Complete Profile:

Lisha Thomas basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Lisha Thomas
Credential :	MD
Gender :	Female

Business Address:

Lisha Thomas address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2450 Riverside Ave Fl 5 Minneapolis, MN, 55454-1450 United States
Phone Number :	612-626-2755

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1780079640
NPI Entity Type :	Individual
First Enrolment Date :	30 Mar, 2015
Last Updated On :	14 Jun, 2021

Medicare Participation:

Lisha Thomas participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0042611550
Medicare Enrollment ID :	I20210622001033
Primary Specialty :	Pediatric Medicine
Medical School :	New York Medical College
Graduation Year :	2015
Accepts Medicare?	Yes. Lisha Thomas accepts medicare insurance.

Group Practice Association:

Lisha Thomas is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lisha Thomas is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Fairview Express Care	3375645179	1469	2450 Riverside Ave Minneapolis, MN - 554541450 Ph: 6126727422	Yes
Fairview Express Care	3375645179	1469	500 Harvard St Se Minneapolis, MN - 554550363 Ph: 6126727422	Yes
University Of Minnesota Health Clinics And Surgery Center Inc	9133423304	529	909 Fulton St Se Minneapolis, MN - 554554800 Ph: 6126727422	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisha Thomas are as mentioned. Primary taxonomy code for Lisha Thomas, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No
2080P0202X	Pediatrics Pediatric Cardiology	Yes	69451	MN

Other Practice Locations:

Practice Address	City, State	Phone Number
300 COMMUNITY DR, MANHASSET, NY, 11030-3816 United States	MANHASSET, NY	516-562-0100

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2450 Riverside Ave Fl 5 Minneapolis, MN, 55454-1450 United States
Phone Number :	612-626-2755

Business Location:

Patients can refer following map for directions to Lisha Thomas practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.