Active NPI
Jess Lee Thompson III, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 44766
- Practice address
- 1200 Childrens Ave
Ste 2E
Oklahoma City, OK 73104-4637 - Phone
- (405) 271-5789
- Fax
- (405) 271-1643
- NPI assigned
- Feb 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 44766 | AZ | Primary |
| Surgery Physician | 208600000X | 31236 | OK |
Addresses
Primary practice location
1200 Childrens Ave
Ste 2E
Oklahoma City, OK 73104-4637
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 759-5874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200528410A | Medicaid | OK |
Other names 1
- Jess Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Southern California Keck School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
811 Ainsworth Dr
Suite 106
Prescott, AZ 86301-1687
Phone (928) 771-5256
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 21 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31236 | OK | MD | Surgery Physician |
| 44766 | AZ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Prescott Gastroenterology | Past | Accepting new patients | |
| Banner-University Medical Group | Past | Accepting new patients | |
| Ou Health Partners, Inc | Past | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
1739 E Beverly Ave
Kingman, AZ 86409
Phone (602) 406-5483
811 Ainsworth Dr
Ste 106
Prescott, AZ 86301
Phone (928) 771-5252
1001 Willow Creek Rd
Ste 3200
Prescott, AZ 86301
Phone (928) 771-5595
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
811 Ainsworth Dr
Ste 109
Prescott, AZ 86301
Phone (928) 771-5595
3262 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 759-5800
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1255582003
-
- Internal Medicine Physician
- Prescott, AZ
- NPI 1083940399
-
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1528394830
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Gastroenterology Physician
- Prescott, AZ
- NPI 1720110984
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1376515452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10880",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863040880",
"telephone_number": "928-759-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CHILDRENS AVE",
"address_2": "STE 2E",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044637",
"telephone_number": "405-271-5789",
"fax_number": "405-271-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JESS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AZ",
"license": "44766",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "31236",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200528410A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESS",
"last_name": "THOMPSON",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.