Active NPI
Thomas B Osgood, MD
- Ophthalmology Physician
- Tacoma, WA
National Provider Identifier
1730160565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00034902
- Practice address
- 3602 S 19TH St
Tacoma, WA 98405-1919 - Phone
- (253) 759-5555
- NPI assigned
- Nov 9, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00034902 | WA | Primary |
Addresses
Primary practice location
3602 S 19TH St
Tacoma, WA 98405-1919
Mailing address
1434 Appleridge St
Wenatchee, WA 98801-4217
Phone (360) 982-1085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8210320 | Medicaid | WA | |
| G8914208 | Other | WA | PTAN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Ophthalmology | Current | Accepting new patients |
Locations
9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777
1145 Broadway
Seattle, WA 98122
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Tacoma, WA
- NPI 1750663084
-
- Ophthalmology Physician
- Tacoma, WA
- NPI 1235262551
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1730160565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 APPLERIDGE ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988014217",
"telephone_number": "360-982-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 S 19TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051919",
"telephone_number": "253-759-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSGOOD",
"first_name": "THOMAS",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00034902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8210320",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G8914208",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.