Gregory R Jespersen & Cathy L Thosath

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

GREGORY R JESPERSEN & CATHY L THOSATH

Practice address

19309 218TH PL NE
Woodinville, WA 98077-7112

Phone

(425) 788-1484

Fax

(425) 788-2024

NPI assigned

May 20, 2007

Last updated

Feb 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Jespersen, D.P.M.NPI 1669551008

Title

Owner

Phone

(425) 788-1484

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory R Jespersen, DPM

  • Podiatrist
  • Woodinville, WA
  • NPI 1669551008
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1720296882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19309 218TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777112",
            "telephone_number": "425-788-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19309 218TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777112",
            "telephone_number": "425-788-1484",
            "fax_number": "425-788-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY R JESPERSEN & CATHY L THOSATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "JESPERSEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-788-1484",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7083165",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Gore, LMT
• Gene E. Graff, D.O.
• Maurece L Graham
• Allen Gordon Green, DC
• Clausy Sabine Gregg, VA60015439
• Richard Leo Gregory, MS PT
• Griffin Sonstegard PLLC (Viridian Oral and Maxillofacial Surgery)
• Alexa Groby
• Susan Anne Groller, RN, LAC
• Mary Theresa Guay, LMFT

• Primary Podiatric Medicine Podiatrist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Primary Podiatric Medicine Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.