Individual provider Active NPI

Thomas Jan Meeks, D.O.

  • Plastic Surgery Physician
  • Silverdale, WA
National Provider Identifier
1609081629
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
OP00002281 Issued in WA
Practice address
9927 Mickelberry Rd NW Ste 121
Silverdale, WA 98383-7861
Phone
(360) 286-2456
Fax
(855) 653-6340
NPI assigned
May 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X OP00002281 WA Primary

Addresses

Primary practice location

9927 Mickelberry Rd NW Ste 121
Silverdale, WA 98383-7861

Mailing address

9927 Mickelberry Rd NW Ste 121
Silverdale, WA 98383-7861
Phone (360) 286-2456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000295 WA Practitioner - Plastic and Reconstructive Surgery 1254420979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9927 Mickelberry Rd NW
Suite 121
Silverdale, WA 98383-7861
Phone (360) 286-2456

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Plastic Surgery Center LLC Plastic Surgery CurrentSince Feb 22, 2018 Accepting new patients

Locations

2520 Cherry Ave
Ste 201
Bremerton, WA 98310
Phone (360) 377-3911

2600 Cherry Ave
Ste 201
Bremerton, WA 98310
Phone (360) 415-0762

9927 Mickelberry Rd NW
Ste 121
Silverdale, WA 98383
Phone (360) 286-2456

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABIBBD/Endpoint/ABIBBD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1609081629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 121",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-286-2456",
            "fax_number": "855-653-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 121",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-286-2456",
            "fax_number": "855-653-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "THOMAS",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "OP00002281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.