Active NPI
Stephen J Thomas, MD
- Orthopaedic Surgery Physician
- Aloha, OR
National Provider Identifier
1477656882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 8290
- Practice address
- 17600 SW Alexander Street
Aloha, OR 97006 - Phone
- (503) 642-2525
- Fax
- (503) 649-9860
- NPI assigned
- Sep 7, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 8290 | OR | Primary |
Addresses
Primary practice location
17600 SW Alexander Street
Aloha, OR 97006
Mailing address
17600 SW Alexander Street
Aloha, OR 97006
Phone (503) 642-2525
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407002 | Other | OR | BLUE CROSS |
| 15684 | Other | WA | DEPT L & I |
| 199430 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8290 | OR | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1477656882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17600 SW ALEXANDER STREET",
"city": "ALOHA",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-642-2525",
"fax_number": "503-649-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17600 SW ALEXANDER STREET",
"city": "ALOHA",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-642-2525",
"fax_number": "503-649-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "STEPHEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "8290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "407002",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT L & I",
"identifier": "15684",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199430",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.