Thomas M Rambow, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA260 Issued in ID

Practice address

8950 W Emerald Ste 168
Boise, ID 83704

Phone

(208) 323-6273

Fax

(208) 323-6277

NPI assigned

Apr 1, 2006

Last updated

Jun 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Utah School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jamestown S'Klallam TribeGroup PAC ID 2365349495, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trambow817532@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamestown S'Klallam Tribe

  dba Jamestown Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Sequim, WA
  • NPI 1134181555
  Medicare reassignment Care Compare group
• Jamestown S'Klallam Tribe

  dba Jamestown Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Sequim, WA
  • NPI 1932957453
  NPD
• Exodus Pain Clinic

  • Interventional Pain Medicine Physician
  • Boise, ID
  • NPI 1366849572
  NPD (past)
• James H Morland, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Meridian, ID
  • NPI 1396945069
  NPD (past)

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

• Clallam County Public Hospital District 2

  dba Olympic Medical Center

  • General Acute Care Hospital
  • Port Angeles, WA
  • NPI 1306845557
  Care Compare affiliation

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1679534184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222",
            "fax_number": "208-323-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD STE 168",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-323-6273",
            "fax_number": "208-323-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBOW",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010017781",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805478400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PA381",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muralidhara R Raju, M.D.
• Katherine Bess Raker, LPC, NCC
• Sierra Ralphs, FNP-C
• Ram Rehab
• Joseph James Ramaker, LCP
• Ashley Ramirez
• Daniel Ramirez, FNP-C
• Lorena Ramirez
• Chadd Miller Ramos, PHARMD
• Clancie Ramos

• Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.