Active NPI
Craig B Thompson, D.O.
- Family Medicine Physician
- Manchester, IA
National Provider Identifier
1013923341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01758
- Practice address
- 709 W Main St
Manchester, IA 52057-0359 - Phone
- (563) 927-7986
- Fax
- (539) 927-7935
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01758 | IA | Primary |
Addresses
Primary practice location
709 W Main St
Manchester, IA 52057-0359
Mailing address
709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A01514 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cthompson@regmedctr.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01758 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Family Medicine | Past | Accepting new patients |
Locations
709 W Main St
Manchester, IA 52057
Phone (563) 927-3232
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manchester, IA
- NPI 1982667929
-
- Rural Health Clinic/Center
- Dyersville, IA
- NPI 1689264756
-
- Family Medicine Physician
- Strawberry Point, IA
- NPI 1811039886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1013923341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526",
"telephone_number": "563-927-3232",
"fax_number": "563-927-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520570359",
"telephone_number": "563-927-7986",
"fax_number": "539-927-7935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CRAIG",
"middle_name": "B",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "01758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A01514",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cthompson@regmedctr.org",
"affiliation": "N",
"endpointDescription": "Regional Medical Center Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "709 W Main St",
"city": "Manchester",
"state": "IA",
"country_code": "US",
"postal_code": "520570359",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.