Thompson & Sjaarda PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THOMPSON & SJAARDA PA

Doing business as

Retina Specialists

Practice address

77 Thomas Johnson Dr Ste B
Frederick, MD 21702-4893

Phone

(301) 682-9700

Fax

(301) 682-3578

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Lathrop Davis Jr.

Title

Business Manager

Phone

(410) 296-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Retina Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Thompson & Sjaarda PA

  dba Retina Specialists

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1346211935

  0941112130

  Same PAC ID

Tax ID family

Retina Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Thompson & Sjaarda PA

  dba Retina Specialists

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1346211935
  NPD tax ID
• Thompson & Sjaarda, P.a.

  dba Retina Specialists

  • Ophthalmology Physician
  • Columbia, MD
  • NPI 1558608786
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David E Baranano, M.D., PH.D.

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1407992050
  Medicare reassignment NPD
• Raymond Nicholas Sjaarda, M.D.

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1811968407
  Medicare reassignment NPD
• John Tilynn Thompson, M.D.

  • Ophthalmology Physician
  • Bonita Springs, FL
  • NPI 1073584439

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1457482663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES ST",
            "address_2": "SUITE 605",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046831",
            "telephone_number": "410-296-9700",
            "fax_number": "410-296-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-682-9700",
            "fax_number": "301-682-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON & SJAARDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LATHROP",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-296-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD5739",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Petra Thomas, M.D.
• Rosemary Patrice Thomas, L.C.P.C.
• Selena Thomas, MD
• Tina Thomas, CRNP
• David George Thomassen, MS, LGPC
• Alexa Marie Thompson, DC
• Debra Elaine Thompson, LCSW-C
• Erin Catherine Rocco Thompson, PT, DPT
• Hannah Thompson
• Kassie Thompson

• Ophthalmology Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.