Richard Scott Thomas (NPI# 1265795660, PAC ID# 5799088845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1265795660 |
PAC ID by PECOS | 5799088845 |
Professional Enrollment ID | I20161102002466 |
Full Name | Richard Scott Thomas |
Organization Legal Name | MOUNTAIN PINE DERMATOLOGY PLLC |
Address |
1576 W Deer Crest Dr Meridian ID 83646-4643 |
Phone Number | 2088987467 |
Gender | M |
Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2012 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 8729366455 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
131311 | ST LUKE'S ELMORE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3175 Pocahontas Rd, Baker City, OR 97814-1434 | 2088987467 | MOUNTAIN PINE DERMATOLOGY PLLC |
1576 W Deer Crest Dr, Meridian, ID 83646-4643 | 2088987467 | MOUNTAIN PINE DERMATOLOGY PLLC |
385 Ranch Rd, Reedsport, OR 97467-1707 | 8442094499 | PAUL D. REICHERTER, MD, PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 99% |
Organization Legal Name | MOUNTAIN PINE DERMATOLOGY PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chelsea L Miller | Physician Assistant | Mountain Pine Dermatology Pllc | 1576 W Deer Crest Dr, Meridian, ID 83646-4643 |
Street Address |
1576 W DEER CREST DR |
City | MERIDIAN |
State | ID |
Zip | 83646-4643 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chelsea L Miller | Physician Assistant | Mountain Pine Dermatology Pllc | 1576 W Deer Crest Dr, Meridian, ID 83646-4643 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marilyn M Sears | Clinical Social Worker | 2548 N Stokesberry Pl, Suite 105, Meridian, ID 83646-1144 | |
Mary M Bosco | Registered Dietitian Or Nutrition Professional | 2525 N Stokesberry Pl B, Meridian, ID 83646-1510 | |
Dennis Ryan Griffeth | Chiropractic | 2525 N Stokesberry Pl, Unit B, Meridian, ID 83646-1510 | |
Victor M Sanchez | Chiropractic | 940 E Carol St, Meridian, ID 83646-1825 | |
Tammy L Hadfield | Nurse Practitioner | 1943 N Locust Grove Rd, Meridian, ID 83646-1829 | |
Jessica B Long | Nurse Practitioner | Finding Home Healthcare, Inc. | 55 W Willowbrook Dr, Suite 103, Meridian, ID 83646-3242 |
Jennifer A Hofer | Nurse Practitioner | Finding Home Healthcare, Inc. | 55 W Willowbrook Dr, Suite 103, Meridian, ID 83646-3242 |
Jason Elliott | Nurse Practitioner | Finding Home Healthcare, Inc. | 55 W Willowbrook Dr, Suite 103, Meridian, ID 83646-3242 |
Tricia Reynolds | Nurse Practitioner | Finding Home Healthcare, Inc. | 55 W Willowbrook Dr, Suite 103, Meridian, ID 83646-3242 |
Christine A Cooper | Nurse Practitioner | Finding Home Healthcare, Inc. | 55 W Willowbrook Dr, Suite 103, Meridian, ID 83646-3242 |
Find all physicians in zip 83646 |
City | MERIDIAN |
Zip Code | 83646 |
Specialty | DERMATOLOGY |
City + Specialty | MERIDIAN + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.