Active NPI
Elizabeth Thompson, PA
- Medical Physician Assistant
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2172
- Practice address
- 807 N Monte Vista St
Ada, OK 74820-7711 - Phone
- (580) 332-8855
- Fax
- (580) 332-7374
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2172 | OK | Primary |
| Physician Assistant | 363A00000X | PA-406 | AR |
Addresses
Primary practice location
807 N Monte Vista St
Ada, OK 74820-7711
Mailing address
527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286
Other practice location 1
5506 W Walsh Ln Ste 204
Rogers, AR 72758-9001
Phone (479) 250-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2172 | Other | OK | OK BOARD OF MEDICAL LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Arlington St
Ada, OK 74820-4067
Phone 5809253286227
301 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5111
304 N Monte Vista St
Ada, OK 74820-7484
Phone (580) 436-5111
527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227
807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855
905 Colony Dr
Ada, OK 74820-2329
Phone (580) 436-5111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2172 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oklahoma Family Medical Center, Inc | Current | Accepting new patients | |
| Central Oklahoma Family Medical Center Inc | Current | Accepting new patients |
Locations
905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111
1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700
807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413
527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286
Interoperability endpoints
- elizabeth.thompson@cof.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Konawa, OK
- NPI 1831291293
-
- Federally Qualified Health Center (FQHC)
- Ada, OK
- NPI 1770399008
-
- Federally Qualified Health Center (FQHC)
- Ada, OK
- NPI 1386380178
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ada, OK
- NPI 1952643306
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1427389097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 W 3RD ST",
"city": "KONAWA",
"state": "OK",
"postal_code": "748491415",
"telephone_number": "580-925-3286",
"fax_number": "580-925-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N MONTE VISTA ST",
"city": "ADA",
"state": "OK",
"postal_code": "748207711",
"telephone_number": "580-332-8855",
"fax_number": "580-332-7374"
}
],
"practiceLocations": [
{
"address_1": "5506 W Walsh Ln Ste 204",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727589001",
"country_code": "US",
"telephone_number": "479-250-3337",
"fax_number": "479-800-1122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ELIZABETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "2172",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-406",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK BOARD OF MEDICAL LICENSURE",
"identifier": "2172",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.