Michael Bartlett Thompson, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

343 Issued in WI

Practice address

3535 30TH Ave
203
Kenosha, WI 53144-1632

Phone

(262) 657-6104

Fax

(262) 657-6194

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Douglas L Kincaid DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenfield, WI
  • NPI 1043558232
  NPD (past)
• Douglas L Kincaid DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenfield, WI
  • NPI 1154535466
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1346294097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-657-6104",
            "fax_number": "262-657-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-657-6104",
            "fax_number": "262-657-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHAEL",
        "middle_name": "BARTLETT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000046034",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43208600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige H Thomas, APNP
• Sheila D Thomas, CPHT, BSW, MSW, APSW
• Christine Yvonne Thompson-Newby, OT
• Amy Susan Thompson, PTA
• Junith M Thompson, MD
• Nancy C Thompson, RN
• Nicole Marie Thompson, OTR/L
• Tuanquilla Montessa Thompson, LCSW
• Three Moons Acupuncture, LLC
• Thrive Therapy Services LLC (Thrive Therapy Services)

• Podiatrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.