Caleb Thomas, DPM
Podiatrist in University Place, WA
Registered providerLicense # listed (WA)Medicare-enrolledAccepts Medicare assignmentTelehealth (Medicare)
Public-record details
- Address
- 3929 Bridgeport Way W Ste 308, University Place, WA 98466
- Phone
- (253) 272-2999
- Listed under
- Individual podiatrists, Telehealth (Medicare claims)
- NPI
- 1578182812
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist (213E00000X)
- Credentials listed
- DPM
- License number on NPI record
- PO61426650 (WA)
- NPI first issued
- Apr 15, 2020
- Years since NPI first issued
- 6 years (since 2020)
- License state on NPI record
- WA
- NPI record last updated
- Jul 7, 2023
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Telehealth (CMS)
- Medicare claims show telehealth services
- Professional school graduation (CMS)
- 2020 (6 years ago)
- Professional school (CMS)
- Temple University School of Podiatric Medicine
- Medicare group practice (CMS)
- Fasa Family Wellness PLLC (16 clinicians)
- Practice locations on file with Medicare (CMS)
- 2
- Other practice locations (NPPES)
- 2: Danville, PA; Tumwater, WA
- Other podiatry listings at this street address
- 4
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What these registry facts mean
Practices and podiatrists at this address
- Thomas Burghardt, DPM
- Mark Nellermoe, DPM
- Mark D Nellermoe Professional Service Corporation (practice/organization)
- Fasa Family Wellness PLLC (practice/organization)