Samuel T Thompson, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

01041048A Issued in IN

Practice address

679 E County Line Rd
Greenwood, IN 46143-1049

Phone

(317) 859-7222

Fax

(317) 859-7220

NPI assigned

Jul 31, 2006

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 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Urology of Indiana L.L. C.

  • Customized Equipment (DME)
  • Avon, IN
  • NPI 1578961314
  NPD (past)
• Urology of Indiana L.L.C

  • Customized Equipment (DME)
  • Crawfordsville, IN
  • NPI 1740688589
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Franklin, IN
  • NPI 1003996638
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Danville, IN
  • NPI 1104906734
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Greenfield, IN
  • NPI 1275613804
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Lebanon, IN
  • NPI 1447342894
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Mooresville, IN
  • NPI 1487052221
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Noblesville, IN
  • NPI 1669552295
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Shelbyville, IN
  • NPI 1821496662
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Fishers, IN
  • NPI 1912305756
  NPD (past)
• Urology of Indiana, L.L.C.

  • Customized Equipment (DME)
  • Greenwood, IN
  • NPI 1205916830

  Urology

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1124033550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1262",
            "fax_number": "317-859-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-859-7222",
            "fax_number": "317-859-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SAMUEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01041048A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340012497",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "100194370",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340012510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "200288740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100343300",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340012524",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000091692",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Thompson, RBT
• Gary Thompson, MD
• Jessica Thompson, LMHC
• Mahayla Thompson, RBT
• Rose-Marie Thompson
• Terry Lee Thompson III, MA, BCBA
• Melissa Thrasher
• Thrivepointe Healthhub, LLC.
• Kay Zin Thwe, PHARMD
• Siobhan Mary Tijerina, DPT

• Urology Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.