Thomas Boaz Stason, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

DO156749 Issued in OR

Practice address

226 SE 8TH Ave
Hillsboro, OR 97123-4218

Phone

(503) 601-7400

Fax

(503) 601-7311

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative Medicine

Education

University of New England, College of Osteo Medicine, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Center for Osteopathic Insight, LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1093063687
  Medicare reassignment NPD Authorized official
• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Cornelius, OR
  • NPI 1679528012
  Medicare reassignment
• Mikhail Volokitin Medical P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • New York, NY
  • NPI 1306013511
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1942362199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255186",
            "telephone_number": "503-292-0765",
            "fax_number": "503-292-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SE 8TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234218",
            "telephone_number": "503-601-7400",
            "fax_number": "503-601-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASON",
        "first_name": "THOMAS",
        "middle_name": "BOAZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO156749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500671067",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Stark
• Jennifer Starks, CSWA, LCSW
• Caitlin Christine Starr, AGACNP-BC
• Carla Susann Moody Starr, M.A., C.C.C.
• Sheila M. Starr, OTR/L
• Lindsey Marie Stave, LINDSEY, R.N.
• Silvia Stavreva, CRM
• Jordan Stead
• Arthur FS Steele, M.D.
• Kalie Steele

• Neuromusculoskeletal Medicine & OMM Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.