NPIMap

Organization Active NPI

Eau Claire Spine & Orthopedics, SC

  • Orthopaedic Surgery of the Spine Physician
  • Eau Claire, WI
National Provider Identifier
1811936248
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
37931 Issued in WI
Legal business name
EAU CLAIRE SPINE & ORTHOPEDICS, SC
Practice address
659 W Hamilton Ave
Eau Claire, WI 54701-6925
Phone
(715) 858-0320
Fax
(715) 858-0319
NPI assigned
Jun 4, 2006
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Thomas Sunil Thomas, MD
Title
Owner
Phone
(715) 858-0320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 37931 WI
Orthopaedic Surgery of the Spine Physician 207XS0117X 37931 WI Primary

Addresses

Primary practice location

659 W Hamilton Ave
Eau Claire, WI 54701-6925

Mailing address

659 W Hamilton Ave
Eau Claire, WI 54701-6925
Phone (715) 858-0320

Other identifiers 2

IdentifierTypeStateIssuer
610080600OtherWIUS DEPT OF LABOR
21282000MedicaidWI

National Provider Directory

National Provider Directory

Locations

431 E Clairemont Ave
Eau Claire, WI 54701
Phone (715) 832-2223

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1811936248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016925",
            "telephone_number": "715-858-0320",
            "fax_number": "715-858-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016925",
            "telephone_number": "715-858-0320",
            "fax_number": "715-858-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAU CLAIRE SPINE & ORTHOPEDICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-858-0320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "37931",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WI",
            "license": "37931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "610080600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21282000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.