Express Urgent Care

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

OP00001758 Issued in WA

Legal business name

EXPRESS URGENT CARE

Practice address

130 Marvin Rd SE Ste 112
Lacey, WA 98503-6101

Phone

(360) 923-1111

Fax

(360) 455-8677

NPI assigned

Jun 19, 2007

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Daniel Thomas, D.O.NPI 1538331418

Title

Physician

Phone

(360) 923-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Daniel Thomas, D.O

  • Family Medicine Physician
  • Lacey, WA
  • NPI 1538331418
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1063617967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE STE 112",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036101",
            "telephone_number": "360-923-1111",
            "fax_number": "360-455-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE STE 112",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036101",
            "telephone_number": "360-923-1111",
            "fax_number": "360-455-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-923-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "OP00001758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Lacey, WA
• Providers in Lacey, WA by specialty
• Point of Service in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.