Provider Demographics
NPI:1134194475
Name:THOMAS, STEPHEN M (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:105 BRAUNLICH DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3348
Mailing Address - Country:US
Mailing Address - Phone:412-635-2920
Mailing Address - Fax:412-635-9677
Practice Address - Street 1:105 BRAUNLICH DR
Practice Address - Street 2:SUITE 410
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3348
Practice Address - Country:US
Practice Address - Phone:412-635-2920
Practice Address - Fax:412-635-9677
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046477L207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012920620009Medicaid
PA000725879OtherHIGHMARK
PA000725879OtherHIGHMARK
PA725879Medicare ID - Type Unspecified