Organization Active NPI

Kishore Thampy, M.D.,S.C.

  • Psychiatry Physician
  • St Augustine, FL
National Provider Identifier
1295750107
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KISHORE THAMPY, M.D.,S.C.
Practice address
1955 US 1 S
St Augustine, FL 32086-3708
Phone
(563) 599-9396
NPI assigned
Jul 12, 2006
Last updated
Aug 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Kishore Thampy, M.D.
Title
President
Phone
(563) 584-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1955 US 1 S
St Augustine, FL 32086-3708

Mailing address

PO Box 388320
Chicago, IL 60638-8320
Phone (773) 767-4600

Other identifiers 6

IdentifierTypeStateIssuer
45495OtherIABLUE SHIELD
260025865OtherRAILROAD MEDICARE
021604125OtherILBLUE SHIELD
1133389MedicaidIA
036048133MedicaidIL
P00134680OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

700 Locust St
Ste 718
Dubuque, IA 52001
Phone (563) 584-2324

53 W Jackson Blvd
Ste 921
Chicago, IL 60604
Phone (312) 427-7676

811 S 10th St
Oregon, IL 61061
Phone (815) 732-7994

Practitioners & affiliated clinicians

Practitioners 3

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1295750107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "773-767-4600",
            "fax_number": "776-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "563-599-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHORE THAMPY, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "THAMPY",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-584-2324",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "45495",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260025865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "021604125",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133389",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048133",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00134680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.