Individual provider Active NPI

Danny Lee Thompson, PA-C

  • Medical Physician Assistant
  • Winnie, TX
National Provider Identifier
1295776805
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00504 Issued in TX
Practice address
538 Broadway
Winnie, TX 77665-7600
Phone
(409) 296-9505
Fax
(409) 296-6397
NPI assigned
Jun 8, 2006
Last updated
Feb 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00504 TX Primary

Addresses

Primary practice location

538 Broadway
Winnie, TX 77665-7600

Mailing address

PO Box 714
Winnie, TX 77665-0714
Phone (409) 296-9505

Other identifiers 1

IdentifierTypeStateIssuer
8Y0883OtherTXBCBS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001441 TX Practitioner - Physician Assistant 4486615887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thompson Outpatient Clinic, LLCGroup PAC ID 6709837362, 2 clinicians

Practice addresses (Care Compare)

304 Broadway
Winnie, TX 77665-7829
Phone (409) 286-2910

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00504TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers County Public Hospital District No. 1 Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dthompsonpac@wcrclnd.securechart.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1295776805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776650714",
            "telephone_number": "409-296-9505",
            "fax_number": "409-296-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-9505",
            "fax_number": "409-296-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DANNY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y0883",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnie, TX

Sources for this page

Verify at the official NPI Registry.