Active NPI
Michael Joseph Thomas, CMA
- Other Technician
- Vancouver, WA
National Provider Identifier
1417428723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- CM60860813
- Practice address
- 6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254 - Phone
- (360) 993-3000
- NPI assigned
- Dec 12, 2018
- Last updated
- Dec 12, 2018
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | CM60860813 | WA | Primary |
Addresses
Primary practice location
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Mailing address
13417 NE 91St St
Vancouver, WA 98682-3046
Phone (360) 828-1194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM60860813 | Other | WA | CERTIFIED MEDICAL ASSISTANT, WA STATE DOH (TECHNICIAN IN TAXONOMY) |
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
- Credentials
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CM60860813 | WA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1417428723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13417 NE 91ST ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986823046",
"telephone_number": "360-828-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6926 NE FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617254",
"telephone_number": "360-993-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "CMA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-12",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "WA",
"license": "CM60860813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED MEDICAL ASSISTANT, WA STATE DOH (TECHNICIAN IN TAXONOMY)",
"identifier": "CM60860813",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.