Organization Active NPI

W. Thomas Coombe, MD , a Medical Corporation

  • Otolaryngology Physician
  • Show Low, AZ
National Provider Identifier
1598964124
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
36942 Issued in AZ
Legal business name
W. THOMAS COOMBE, MD , A MEDICAL CORPORATION
Practice address
2051 Evergreen LN
Suite B
Show Low, AZ 85901-7928
Phone
(928) 537-1042
Fax
(928) 537-1082
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Walter Thomas Coombe, MD
Title
Physician
Phone
(928) 537-1042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 36942 AZ Primary

Addresses

Primary practice location

2051 Evergreen LN
Suite B
Show Low, AZ 85901-7928

Mailing address

PO Box 3409
Payson, AZ 85547-3409
Phone (928) 468-9280

Other identifiers 1

IdentifierTypeStateIssuer
218514MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2051 Evergreen Ln
Ste B
Show Low, AZ 85901
Phone (928) 537-1042

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1598964124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3409",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855473409",
            "telephone_number": "928-468-9280",
            "fax_number": "928-468-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 EVERGREEN LN",
            "address_2": "SUITE B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017928",
            "telephone_number": "928-537-1042",
            "fax_number": "928-537-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. THOMAS COOMBE, MD , A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "COOMBE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-537-1042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "36942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218514",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.