Individual provider Active NPI

Pamela Joy Thompson, DC

  • Chiropractor
  • Baraboo, WI
National Provider Identifier
1023239340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2665 Issued in WI
Practice address
717 South Blvd
Baraboo, WI 53913-0044
Phone
(608) 356-0177
Fax
(608) 356-3265
NPI assigned
May 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2665 WI Primary

Addresses

Primary practice location

717 South Blvd
Baraboo, WI 53913-0044

Mailing address

PO Box 44
717 South Blvd
Baraboo, WI 53913-0044
Phone (608) 356-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081112000230 WI Practitioner - Chiropractic 7810056413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1208 9TH St
Baraboo, WI 53913-1816
Phone (608) 356-0177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2665WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirtopractic Health Center CurrentSince Jan 2, 2008 Accepting new patients

Locations

1208 9th St
Baraboo, WI 53913
Phone (608) 356-0177

717 South Blvd
Baraboo, WI 53913
Phone (608) 356-0177

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023239340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "address_2": "717 SOUTH BLVD",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539130044",
            "telephone_number": "608-356-0177",
            "fax_number": "608-356-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SOUTH BLVD",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539130044",
            "telephone_number": "608-356-0177",
            "fax_number": "608-356-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAMELA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.