Active NPI
Thomas A Firth, MD
- Internal Medicine Physician
- Cottage Grove, OR
National Provider Identifier
1215936661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD15091
- Practice address
- 1445 Gateway Blvd
Cottage Grove, OR 97424-0026 - Phone
- (541) 942-7000
- Fax
- (541) 942-5550
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD15091 | OR | Primary |
Addresses
Primary practice location
1445 Gateway Blvd
Cottage Grove, OR 97424-0026
Mailing address
1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 942-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110155238 | Other | OR | RR MEDICARE |
| 070425 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15091 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1215936661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 GATEWAY BLVD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974241224",
"telephone_number": "541-942-7000",
"fax_number": "541-942-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 GATEWAY BLVD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974240026",
"telephone_number": "541-942-7000",
"fax_number": "541-942-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRTH",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD15091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110155238",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070425",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.