Basic Information
Provider Information | |||||||||
NPI: | 1760555734 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | KESKEY | ||||||||
FirstName: | THOMAS | ||||||||
MiddleName: | SCOTT | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 1535 | ||||||||
Address2: |   | ||||||||
City: | TACOMA | ||||||||
State: | WA | ||||||||
PostalCode: | 984011535 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2537614200 | ||||||||
FaxNumber: | 2533833553 | ||||||||
Practice Location | |||||||||
Address1: | 1304 FAWCETT AVE | ||||||||
Address2: | SUITE 100 | ||||||||
City: | TACOMA | ||||||||
State: | WA | ||||||||
PostalCode: | 984021911 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2537614200 | ||||||||
FaxNumber: | 2533833553 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/16/2006 | ||||||||
LastUpdateDate: | 09/16/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0204X | 00027513 | WA | N |   | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | 2085R0202X | MD00027513 | WA | Y |   | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
ID | Type | State | Issuer | Description | 300024523 | 01 | WA | RR MEDICARE TRA | OTHER | 8951828 | 01 | WA | LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST | OTHER | KE1606 | 01 | WA | REGENCE BLUE SHIELD TRA | OTHER | 0260000 | 01 | WA | LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI | OTHER | 8125833 | 05 | WA |   | MEDICAID | AB36537 | 01 | WA | MEDICARE PIN TRA KING COUNTY | OTHER | 7252KE | 01 | WA | REGENCE BLUE SHIELD UNION AVENUE OPEN | OTHER | 0249548 | 01 | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST | OTHER | 80777 | 01 | WA | LABOR AND INDUSTRIES/WC TRA | OTHER | 8945532 | 01 | WA | LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI | OTHER | 8945827 | 01 | WA | LABOR AND INDUSTRIES CRIME VICTIMS-TRA | OTHER |