Active NPI
Michael Thomas
- Contractor
- Toledo, OR
National Provider Identifier
1083030316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 321 SE 3Rd St
Toledo, OR 97391-1613 - Phone
- (541) 336-2254
- NPI assigned
- Mar 11, 2014
- Last updated
- Mar 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OR | Primary |
Addresses
Primary practice location
321 SE 3Rd St
Toledo, OR 97391-1613
Mailing address
321 SE 3Rd St
Toledo, OR 97391-1613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93-0698327 | Other | PRIVATE NON PROFIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1083030316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 SE 3RD ST",
"city": "TOLEDO",
"state": "OR",
"postal_code": "973911613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 SE 3RD ST",
"city": "TOLEDO",
"state": "OR",
"postal_code": "973911613",
"telephone_number": "541-336-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE NON PROFIT",
"identifier": "93-0698327",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.