Active NPI
Gary D Thompson, CPO/LPO
- Specialist
- Yakima, WA
National Provider Identifier
1275635997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PS00000366/OI0000038
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9058124 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS00000366/OI0000038 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Prosthetic/Orthotic Supplier
- Yakima, WA
- NPI 1962682906
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.