Provider Demographics
NPI:1346221215
Name:THOMAS, JOSEPH RN JR (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RN
Last Name:THOMAS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 48159
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148-0159
Mailing Address - Country:US
Mailing Address - Phone:206-244-1212
Mailing Address - Fax:206-244-1223
Practice Address - Street 1:16251 SYLVESTER RD SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3017
Practice Address - Country:US
Practice Address - Phone:206-244-1212
Practice Address - Fax:206-244-1223
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00000634207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8327215Medicaid
WA8934233OtherCRIME VICTIMS PGM
WA5297THOtherREGENCE BLUE SHIELD
WA0165304OtherDEPT OF LABOR & INDUSTRIE
WA8934233OtherCRIME VICTIMS PGM
WAAB34529Medicare ID - Type Unspecified