Organization Active NPI

Vicki Thomson PA

  • Preferred Provider Organization
  • Edina, MN
National Provider Identifier
1013070952
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1101 Issued in MN
Legal business name
VICKI THOMSON PA
Practice address
7380 France Ave S
Edina, MN 55435-4535
Phone
(952) 927-7337
Fax
(952) 927-8610
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vicki Thomson, MD
Title
Owner
Phone
(952) 927-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1101 MN Primary

Addresses

Primary practice location

7380 France Ave S
Edina, MN 55435-4535

Mailing address

7025 France Ave S Ste 100
Edina, MN 55435-4215
Phone (952) 927-7337

Other identifiers 5

IdentifierTypeStateIssuer
106659OtherMNUCARE
16745OtherMNMHP
932213200MedicaidMN
49882EDOtherMNBCBS
8341265OtherMNAETNA

Other names 1

  • EDINA PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Locations

3209 W 76th St
Ste 203A
Edina, MN 55435
Phone (952) 927-7337

7025 France Ave S
#100
Edina, MN 55435
Phone (952) 927-7337

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1013070952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 FRANCE AVE S STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354215",
            "telephone_number": "952-927-7337",
            "fax_number": "952-927-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354535",
            "telephone_number": "952-927-7337",
            "fax_number": "952-927-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI THOMSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-927-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MN",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "106659",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP",
            "identifier": "16745",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932213200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49882ED",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8341265",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDINA PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDINA PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.