Active NPI
Richard Scott Thomas, D.O.
- Dermatology Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- O-0934
- Practice address
- 4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442 - Phone
- (208) 898-7467
- Fax
- (208) 398-2120
- NPI assigned
- Jun 20, 2012
- Last updated
- Oct 1, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | DO163719 | OR | |
| Dermatology Physician | 207N00000X | O-0934 | ID | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | O0934 | ID | |
| General Practice Physician | 208D00000X | O0934 | ID |
Addresses
Primary practice location
4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442
Mailing address
4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442
Phone (208) 898-7467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Rattlesnake Ave
Mountain Home, ID 83647-4219
Phone (208) 898-7467
1202 E Locust St
Emmett, ID 83617-2715
Phone (208) 898-7467
3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (208) 898-7467
4664 N Penngrove Way
Suite 100
Meridian, ID 83646-7442
Phone (208) 898-7467
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 84 |
| Removal of skin lesions | 539 |
| Removal of skin cancer | 275 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O0934 | ID | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul D. Reicherter, MD, PC | Dermatology | Current | Accepting new patients |
| West Valley Medical Associates Inc | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
385 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2119
1813 W Harvard Ave
Ste 310
Roseburg, OR 97471
Phone (541) 672-7546
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical & Laboratory Dermatological Immunology Physician
- Roseburg, OR
- NPI 1407055437
Dermatology
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba West Valley Anesthesia Associates
- Internal Medicine Physician
- Caldwell, ID
- NPI 1164936720
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Elmore
- Ambulance
- Mountain Home, ID
- NPI 1477954204
Hospital
-
dba St Lukes Elmore Medical Center
- Critical Access Hospital
- Mountain Home, ID
- NPI 1699013565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1265795660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4664 N PENNGROVE WAY STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467442",
"telephone_number": "208-898-7467",
"fax_number": "208-398-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4664 N PENNGROVE WAY STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467442",
"telephone_number": "208-898-7467",
"fax_number": "208-398-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RICHARD",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "DO163719",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "ID",
"license": "O-0934",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "ID",
"license": "O0934",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "O0934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.