Organization Active NPI

Ian M Thompson MD PA

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1134666548
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
IAN M THOMPSON MD PA
Practice address
2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894
Phone
(210) 960-0081
NPI assigned
Jan 23, 2017
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Ian M Thompson Jr., MD
Title
Owner
Phone
(210) 960-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894

Mailing address

2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894
Phone (210) 960-0081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170328000829 TX Part B Supplier - Clinic/Group Practice 9436434842 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2833 Babcock Rd
Ste 212
San Antonio, TX 78229
Phone (210) 267-1709

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1134666548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294894",
            "telephone_number": "210-960-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294894",
            "telephone_number": "210-960-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN M THOMPSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-960-0081",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.