Organization Active NPI

John Thompson MD PA

  • Surgery Physician
  • Weatherford, TX
National Provider Identifier
1164724506
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D8459 Issued in TX
Legal business name
JOHN THOMPSON MD PA
Practice address
707 State St
Weatherford, TX 76086-5777
Phone
(817) 594-5496
Fax
(817) 594-5496
NPI assigned
Nov 17, 2010
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. John Howard Thompson, MDNPI 1265543714
Title
President
Phone
(817) 594-5496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D8459 TX Primary

Addresses

Primary practice location

707 State St
Weatherford, TX 76086-5777

Mailing address

707 State St
Weatherford, TX 76086-5777
Phone (817) 594-5496

Other identifiers 1

IdentifierTypeStateIssuer
031847901MedicaidTX

National Provider Directory

National Provider Directory

Locations

707 State St
Weatherford, TX 76086
Phone (817) 594-5496

Practitioners & affiliated clinicians

Practitioners 1

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": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1164724506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 STATE ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865777",
            "telephone_number": "817-594-5496",
            "fax_number": "817-594-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 STATE ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865777",
            "telephone_number": "817-594-5496",
            "fax_number": "817-594-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN THOMPSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-594-5496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D8459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031847901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.