Organization Active NPI

Stephen J. Thomas MD, PC

  • Orthopaedic Surgery Physician
  • Aloha, OR
National Provider Identifier
1811224504
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD08290 Issued in OR
Legal business name
STEPHEN J. THOMAS MD, PC
Practice address
17600 SW Alexander St
Aloha, OR 97006-4411
Phone
(503) 642-2525
Fax
(503) 649-9860
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Mrs. Renee' A Sansom
Title
Bookkeeper
Phone
(503) 642-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD08290 OR Primary

Addresses

Primary practice location

17600 SW Alexander St
Aloha, OR 97006-4411

Mailing address

17600 SW Alexander St
Aloha, OR 97006-4411
Phone (503) 642-2525

Other identifiers 5

IdentifierTypeStateIssuer
199430MedicaidOR
407002OtherORBLUE CROSS
C94536OtherORUPIN
0410790001OtherORDMERC
15684OtherWADEPARTMENT OF L & I

National Provider Directory

National Provider Directory

Locations

17600 SW Alexander St
Beaverton, OR 97003
Phone (503) 260-4828

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1811224504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 SW ALEXANDER ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970064411",
            "telephone_number": "503-642-2525",
            "fax_number": "503-649-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 SW ALEXANDER ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970064411",
            "telephone_number": "503-642-2525",
            "fax_number": "503-649-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. THOMAS MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "SANSOM",
        "authorized_official_first_name": "RENEE'",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "503-642-2525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD08290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199430",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "407002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C94536",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0410790001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF L & I",
            "identifier": "15684",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.