Thomas B Vader MD PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00015541 Issued in WA

Legal business name

THOMAS B VADER MD PS

Practice address

101 N Main St
Coupeville, WA 98239-3413

Phone

(360) 678-7608

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Thomas B Vader, MD

Title

President

Phone

(360) 678-4071

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jochen F Dwersteg, MD

  • Anesthesiology Physician
  • Bellingham, WA
  • NPI 1811089931
  NPD (past)
• Earl Christopher Outlund, MD

  • Anesthesiology Physician
  • Ukiah, CA
  • NPI 1154373645
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1760577480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390129",
            "telephone_number": "360-678-4071",
            "fax_number": "360-678-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393413",
            "telephone_number": "360-678-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS B VADER MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "VADER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-678-4071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00015541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Ray Suzuki
• Elizabeth Syreen, RN, MAC
• Susan J Taves, P.T.
• Lori B Taylor, R.D.
• Barbara Jean Thelen, PHARMD04
• David William Thomason
• Paul Drew Thompson, M.D.
• Zane Alan Thompson, M.D.
• Sierra K Tibbetts, AU.D.
• Diane Marie Trepanier, ARNP

• Specialist in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.