Organization Active NPI

Thomas H Thompson MD PC

  • Orthopaedic Surgery Physician
  • Roseburg, OR
National Provider Identifier
1023200953
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD13952 Issued in OR
Legal business name
THOMAS H THOMPSON MD PC
Practice address
2508 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone
(541) 677-1256
Fax
(541) 673-1160
NPI assigned
Aug 14, 2007
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Nancy Elizabeth Thompson
Title
Secretary/Office Manager
Phone
(541) 677-1256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD13952 OR Primary

Addresses

Primary practice location

2508 NW Medical Park Dr
Roseburg, OR 97471-5510

Mailing address

2508 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone (541) 677-1256

Other identifiers 2

IdentifierTypeStateIssuer
221523MedicaidOR
200046321OtherORRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1023200953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-677-1256",
            "fax_number": "541-673-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-677-1256",
            "fax_number": "541-673-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H THOMPSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SECRETARY/OFFICE MANAGER",
        "authorized_official_telephone_number": "541-677-1256"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD13952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221523",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200046321",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.