Individual provider Active NPI

Gary D Thompson, CPO/LPO

  • Specialist
  • Yakima, WA
National Provider Identifier
1275635997
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PS00000366/OI0000038 Issued in WA
Practice address
502 W Nob Hill Blvd Unit 1
Yakima, WA 98902-5500
Phone
(509) 249-0011
Fax
(509) 249-0077
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PS00000366/OI0000038 WA Primary

Addresses

Primary practice location

502 W Nob Hill Blvd Unit 1
Yakima, WA 98902-5500

Mailing address

502 W Nob Hill Blvd Unit 1
Yakima, WA 98902-5500
Phone (509) 249-0011

Other identifiers 1

IdentifierTypeStateIssuer
9058124MedicaidWA

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

State licenses

LicenseStateTypeSpecialty
PS00000366/OI0000038WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Prosthetic & Orthotic Center, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1275635997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W NOB HILL BLVD UNIT 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025500",
            "telephone_number": "509-249-0011",
            "fax_number": "509-249-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W NOB HILL BLVD UNIT 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025500",
            "telephone_number": "509-249-0011",
            "fax_number": "509-249-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GARY",
        "middle_name": "D",
        "credential": "CPO/LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PS00000366/OI0000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058124",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.