Mark Edmund Thompson, D.O.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

OS10194 Issued in FL

Practice address

4520 W US Highway 90
Lake City, FL 32055-8341

Phone

(352) 755-0601

Fax

(352) 755-0602

NPI assigned

Aug 19, 2005

Last updated

May 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Radiation Oncology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.7 of 100Reported as individual

Quality

89.64

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mthompson@epluscancercare.direct.varian.com
• Direct secure messaging: mthompson@ionetwork.direct.varian.com

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.

• Bardmoor Cancer Center LLC

  • Radiation Oncology Physician
  • Largo, FL
  • NPI 1811923386
  Medicare reassignment NPD
• Lake City Cancer Care LLC

  dba Cancer Care of North Florida & Urology Medical of North Florida

  • Hematology & Oncology Physician
  • Lake City, FL
  • NPI 1396132213

  Radiation Oncology

  Medicare reassignment NPD
• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  Medicare reassignment NPD
• Integrated Community Oncology Network LLC

  dba Florida Radiation Oncology Group

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1043230402
  NPD (past)
• Memorial Southside Cancer Center LLC

  dba Memorial Cancer Center

  • Radiation Oncology Clinic/Center
  • Jacksonville, FL
  • NPI 1588724033
  NPD (past)
• North Florida Cancer Center Live Oak LLC

  • Radiation Oncology Physician
  • Live Oak, FL
  • NPI 1730176215
  NPD (past)
• North Florida Radiation Oncology

  dba HCA Florida North Florida Cancer Center

  • Radiation Oncology Physician
  • Lake City, FL
  • NPI 1659003648
  NPD (past)
• North Florida Radiation Oncology LLC

  dba HCA Florida North Florida Cancer Center

  • Radiation Oncology Physician
  • Gainesville, FL
  • NPI 1740201912
  NPD (past)
• Physicians for a Community United for Research and Education LLC

  • Nuclear Medicine Physician
  • Tallahassee, FL
  • NPI 1770721466

  Radiation Oncology

  NPD (past)
• Physicians for a Community United for Research and Education LLC

  dba Tampa Bay Cancer Center

  • Radiation Oncology Physician
  • Brandon, FL
  • NPI 1891099032
  NPD (past)
• M Ayman Ghraowi, MD PA

  dba Northwest Cancer Center

  • Radiation Oncology Physician
  • Corpus Christi, TX
  • NPI 1407885262
  NPD (past)
• South Texas Comprehensive Cancer Centers PLLC

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1740236207
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1487646030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "559-475-4151",
            "fax_number": "559-421-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558341",
            "telephone_number": "352-755-0601",
            "fax_number": "352-755-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8787 Bryan Dairy Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337771252",
            "country_code": "US",
            "telephone_number": "727-320-0200",
            "fax_number": "727-394-8934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARK",
        "middle_name": "EDMUND",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "OS10194",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "FL",
            "license": "OS10194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "310302",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279300800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKED TO GROUP PTAN IE881A EFFECTIVE 08/01/2015",
            "identifier": "PTAN AG644E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02484",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0825156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonecia R Thomas
• Brittany Creech Thompson
• Colleen Thompson
• Fabryanna S Thompson
• Geneva J Thompson, LCSW
• Danny Michael Thornton
• Michelle Christine Thorpe
• Three Rivers Anesthesia Service PA
• Aaron Threm
• Kelsey Lynn Thurman

• Therapeutic Radiology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Therapeutic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.

Verify at the official NPI Registry.