Active NPI
Stephen J. Thomas MD, PC
- Orthopaedic Surgery Physician
- Aloha, OR
National Provider Identifier
1811224504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD08290
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199430 | Medicaid | OR | |
| 407002 | Other | OR | BLUE CROSS |
| C94536 | Other | OR | UPIN |
| 0410790001 | Other | OR | DMERC |
| 15684 | Other | WA | DEPARTMENT OF L & I |
National Provider Directory
National Provider DirectoryLocations
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.