Active NPI
Thomas Ira Hughes, PA-C, MPAS
- Physician Assistant
- Clallam Bay, WA
National Provider Identifier
1841267945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10003261
- Practice address
- 74 Bogachiel
Clallam Bay Medical Clinic
Clallam Bay, WA 98326 - Phone
- (360) 963-2202
- Fax
- (360) 963-2905
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10003261 | WA | Primary |
Addresses
Primary practice location
74 Bogachiel
Clallam Bay Medical Clinic
Clallam Bay, WA 98326
Mailing address
PO Box 720
Forks, WA 98331-0720
Phone (360) 374-5470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8208977 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10003261 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clallam County Public Hospital District No 1 | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/forkshospital/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Clallam Bay, WA
- NPI 1235213034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1841267945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720",
"city": "FORKS",
"state": "WA",
"postal_code": "983310720",
"telephone_number": "360-374-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 BOGACHIEL",
"address_2": "CLALLAM BAY MEDICAL CLINIC",
"city": "CLALLAM BAY",
"state": "WA",
"postal_code": "98326",
"telephone_number": "360-963-2202",
"fax_number": "360-963-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "THOMAS",
"middle_name": "IRA",
"credential": "PA-C, MPAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10003261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8208977",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clallam Bay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.