Active NPI
Stuart H Thorson, M.D.
- Pulmonary Disease Physician
- Bellingham, WA
National Provider Identifier
1902932247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD00018372
- Practice address
- 2980 Squalicum Pkwy Ste 301
Bellingham, WA 98225 - Phone
- (360) 788-6112
- Fax
- (360) 788-6114
- NPI assigned
- Feb 23, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00018372 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD00018372 | WA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD00018372 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD00018372 | WA | Primary |
Addresses
Primary practice location
2980 Squalicum Pkwy Ste 301
Bellingham, WA 98225
Mailing address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1462
Other practice location 1
1990 Hospital Dr Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-8820
Other practice location 2
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 228-8300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8303737 | Medicaid | WA | |
| P00670536 | Other | WA | RAILROAD MEDICARE |
| 1902932247 | Medicaid | WA | |
| 221341 | Medicaid | OR | |
| 0237220 | Other | WA | L&I AND CRIME VICTIMS |
| 3141TH | Other | WA | REGENCE |
| 4411689 | Other | WA | AETNA |
| MD0850W | Medicaid | AK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00018372 | WA | MD | Internal Medicine Physician |
Interoperability endpoints
- sthorson4204@direct.peacehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1902932247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838004",
"telephone_number": "360-729-1462",
"fax_number": "360-729-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 SQUALICUM PKWY STE 301",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-788-6112",
"fax_number": "360-788-6114"
}
],
"practiceLocations": [
{
"address_1": "1990 Hospital Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Sedro Woolley",
"state": "WA",
"postal_code": "98284",
"country_code": "US",
"telephone_number": "360-856-8820",
"fax_number": "360-714-2522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "99901",
"country_code": "US",
"telephone_number": "907-228-8300",
"fax_number": "907-228-8424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORSON",
"first_name": "STUART",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00018372",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD00018372",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WA",
"license": "MD00018372",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00018372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8303737",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00670536",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902932247",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221341",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0237220",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "3141TH",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4411689",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD0850W",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.