Gregory M. Thompson, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD04339E Issued in PA

Practice address

255 W Lancaster Ave
Pmob III, Suite 333
Paoli, PA 19301-1763

Phone

(610) 644-9600

Fax

(610) 644-0804

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alliance Physician Services, PC

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350
  Medicare reassignment NPD
• Urology Health Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Paoli, PA
  • NPI 1790197606
  Medicare reassignment NPD
• Alliance Physician Services, PC / Dba Midlantic Urology

  • Urology Physician
  • King of Prussia, PA
  • NPI 1811351083
  NPD
• Urology Health Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Huntingdon Valley, PA
  • NPI 1306043617
  NPD
• Urology Health Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Broomall, PA
  • NPI 1669931861
  NPD
• Alliance Physician Services, PC

  • Urology Physician
  • Wake Forest, NC
  • NPI 1316811888
  NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  NPD (past)
• Alliance Physician Services, PC

  • Urology Physician
  • Raleigh, NC
  • NPI 1639963531
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1063410702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GERMANTOWN PIKE",
            "address_2": "STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621421",
            "telephone_number": "484-530-0205",
            "fax_number": "484-530-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "address_2": "PMOB III, SUITE 333",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-644-9600",
            "fax_number": "610-644-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GREGORY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD04339E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "557113",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "03752592000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011574150003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Edmond Theriault, M.D.
• Nita K Thingalaya, M.D.
• Think Oral Implants and Periodontics PLLC
• Thomas H. Graham
• Thomas Pingue Pmhnp-BC LLC
• Noble L Thompson, MD
• Alyssa Morgan Timberman, FNP-C
• Giulia Tinari, OD
• Miriam Ting, DMD, BDS, MS
• Taunya Marie Tinsley, PH.D., NCC, LPC

• Urology Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.