Active NPI
Marcel Dwaine Thompson, D.O.
- Obstetrics & Gynecology Physician
- Bellaire, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L7220
- Practice address
- 4914 Bissonnet St Ste 101
Bellaire, TX 77401 - Phone
- (713) 623-1414
- Fax
- (713) 623-1784
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | L7220 | TX | |
| General Practice Physician | 208D00000X | L7220 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | L7220 | TX | Primary |
Addresses
Primary practice location
4914 Bissonnet St Ste 101
Bellaire, TX 77401
Mailing address
4914 Bissonnet St Ste 101
Bellaire, TX 77401-4047
Phone (713) 623-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080462703 | Medicaid | TX | |
| 353338203 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7220 | TX | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSM1 Management LLC | Current | Accepting new patients | |
| My Vita Women S Wellness Center PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Texarkana Regional Healthcare Network | Obstetrics & Gynecology | Past | Accepting new patients |
| Weaver Wellness Center Inc | Past | Accepting new patients | |
| Medical Center Medical Group | Past | Accepting new patients | |
| Austin Area Womens Center, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436
4914 Bissonnet St
Ste 101
Bellaire, TX 77401
Phone (713) 623-1414
926 N Wilcrest Dr
Ste 100
Houston, TX 77079
Phone (713) 623-1414
2121 Williams Trace Blvd
Ste 300
Sugar Land, TX 77478
Phone (281) 710-0310
4660 Sweetwater Blvd
Ste 150
Sugar Land, TX 77479
Phone (281) 313-0551
Interoperability endpoints
- https://api.platform.athenahealth.com/18199/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/11541/brand/61/csg/841/fhir/r4
Organizations & group practices 6
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.
-
dba Venus Restorative Health and Wellness
- Obstetrics & Gynecology Physician
- Sugar Land, TX
- NPI 1366913980
-
dba Texas Comprehensive Care.
- Geriatric Medicine (Internal Medicine) Physician
- Sugar Land, TX
- NPI 1710739719
-
- Obstetrics & Gynecology Physician
- Round Rock, TX
- NPI 1952427080
-
- Anesthesiology Physician
- Texarkana, TX
- NPI 1720046444
-
- Specialist
- Texarkana, TX
- NPI 1083858831
Obstetrics & Gynecology
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1538744149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1265593875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 BISSONNET ST STE 101",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014047",
"telephone_number": "713-623-1414",
"fax_number": "713-623-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 BISSONNET ST STE 101",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "77401",
"telephone_number": "713-623-1414",
"fax_number": "713-623-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MARCEL",
"middle_name": "DWAINE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "L7220",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "L7220",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L7220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080462703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353338203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.