Individual provider Active NPI

Courtney Thompson, PA-C

  • Physician Assistant
  • Victoria, TX
National Provider Identifier
1013466127
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
605 E San Antonio St Ste 520E
Victoria, TX 77901
Phone
(361) 576-0633
Fax
(361) 576-0639
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

605 E San Antonio St Ste 520E
Victoria, TX 77901

Mailing address

605 E San Antonio St Ste 520E
Victoria, TX 77901-6086
Phone (361) 576-0633

Other practice location 1

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 582-7942 ext. 7942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170224001389 TX Practitioner - Physician Assistant 7719261445 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perez Orthopedics PLLCGroup PAC ID 9335536226, 3 clinicians
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

105 Spring Creek Blvd
Suite 300
Victoria, TX 77904-7100
Phone (361) 345-4566

2701 Hospital Dr
Victoria, TX 77901-5748

6404 Nursery Dr
Suite 201
Victoria, TX 77904-1688
Phone (361) 345-4566

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Campo Memorial Hospital CurrentSince Feb 11, 2021 Accepting new patients
El Campo Memorial Hospital CurrentSince Feb 11, 2021 Accepting new patients
Victoria Orthopedic Center PLLC CurrentSince Jun 18, 2018 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

6404 Nursery Dr
Ste 202
Victoria, TX 77904
Phone (361) 333-5321

605 E San Antonio St
Ste 520E
Victoria, TX 77901
Phone (361) 576-0633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIHGCD/Endpoint/AIHGCD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1013466127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 520E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016086",
            "telephone_number": "361-576-0633",
            "fax_number": "361-576-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 520E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-576-0633",
            "fax_number": "361-576-0639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015748",
            "country_code": "US",
            "telephone_number": "361-582-7942 x7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.