Paul Norman Thomas, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD15689 Issued in OR

Practice address

11790 SW Barnes Rd BLDG a
Suite 140
Portland, OR 97225-5934

Phone

(503) 643-2100

Fax

(503) 643-7300

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21484/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1285692137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD BLDG A",
            "address_2": "SUITE 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255934",
            "telephone_number": "503-643-2100",
            "fax_number": "503-643-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD BLDG A",
            "address_2": "SUITE 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255934",
            "telephone_number": "503-643-2100",
            "fax_number": "503-643-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PAUL",
        "middle_name": "NORMAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD15689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "021993005",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE HEALTH PLAN",
            "identifier": "301242",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054499",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI WEST",
            "identifier": "93112982997006A004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Wade Thomas, CRM, PSS
• Neil William Douglas Thomas, M.D.
• Noel M Thomas, ND
• Patricia Thomas, MA, CCC-SLP
• Patricia Ann Thomas, CADC II, QMHA
• Rachael Thomas, PMHNP
• Rhonda Shane Thomas, RT (R)
• Rigi Elezabath Thomas, ND
• Ronald Thomas, CRM
• Roxanne JB Thomas, MD

• Pediatrics Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.