Organization Active NPI

Thomas D Gilberts MD LLC

  • Internal Medicine Physician
  • Beaverton, OR
National Provider Identifier
1831110964
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THOMAS D GILBERTS MD LLC
Practice address
17200 NW Corridor CT
Suite 105
Beaverton, OR 97006-3295
Phone
(503) 614-8400
NPI assigned
Jul 22, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Thomas Duane Gilberts, MDNPI 1841214236
Title
Physician
Phone
(503) 614-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

17200 NW Corridor CT
Suite 105
Beaverton, OR 97006-3295

Mailing address

17200 NW Corridor CT
Suite 105
Beaverton, OR 97006-3295
Phone (503) 614-8400

Other identifiers 1

IdentifierTypeStateIssuer
227035MedicaidOR

National Provider Directory

National Provider Directory

Locations

256 SE 2nd Ave
Ste A
Hillsboro, OR 97123
Phone (503) 941-9129

Practitioners & affiliated clinicians

Practitioners 2

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1831110964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 NW CORRIDOR CT",
            "address_2": "SUITE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063295",
            "telephone_number": "503-614-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 NW CORRIDOR CT",
            "address_2": "SUITE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063295",
            "telephone_number": "503-614-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D GILBERTS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "GILBERTS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-614-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227035",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.