Individual
DR. MICHAEL GE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 FREEWAY DRIVE, MOUNT VERNON, WA 98273
(360) 814-6800
(360) 814-6917
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00035605
WA
207X00000X
Orthopaedic Surgery Physician
MD185536
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104959
—
WA
01
—
124120
LABOR & INDUSTRY
WA
01
—
230400
LABOR & INDUSTRIES
WA
01
—
2512TH
REGENCE
—
01
—
7573047
AETNA
—
05
—
8226870
—
WA
01
—
8951289
L&I CRIME VICTIMS COMPENSATION PROGRAM
WA
01
—
P00626752
RAILROAD MEDICARE
—
01
—
TH0246
BLUE SHIELD
WA
Enumeration date
08/14/2006
Last updated
03/07/2023
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