NPIMap

Individual provider Active NPI

Larry W Thompson Jr., MD

  • Obstetrics & Gynecology Physician
  • Erie, PA
National Provider Identifier
1497709729
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD063706L Issued in PA
Practice address
100 Peach St
Suite 300
Erie, PA 16507-1423
Phone
(814) 459-1851
Fax
(814) 452-0026
NPI assigned
May 20, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD063706L PA Primary

Addresses

Primary practice location

100 Peach St
Suite 300
Erie, PA 16507-1423

Mailing address

100 Peach St
Suite 100
Erie, PA 16507-1423
Phone (814) 459-1851

Other practice location 1

965 Shamrock Ln
Corry, PA 16407-1196
Phone (814) 665-8288

Other identifiers 3

IdentifierTypeStateIssuer
1590926OtherPAHIGHMARK BC/BS
1009353940001MedicaidPA
P00156458OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000198 PA Practitioner - Obstetrics/Gynecology 9234111386 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

965 Shamrock LN
Corry, PA 16407-9121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adagio Health Inc. Obstetrics & Gynecology Current Accepting new patients
Adagio Health Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2012 Accepting new patients
OB-GYN Associates of Erie, PC Obstetrics & Gynecology CurrentSince Aug 1, 2004 Accepting new patients
Adagio Health Inc. CurrentSince Feb 1, 2012 Accepting new patients
OB GYN Associates of Erie Laboratory LLC Current Accepting new patients
Corry Memorial Hospital Association CurrentSince Nov 20, 2025 Accepting new patients
Upmc Hamot Past Accepting new patients
Saint Vincent Health Center Past Accepting new patients
CMH Womens Health Services LLC Obstetrics & Gynecology Past Accepting new patients

Locations

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

118 E Plum St
Edinboro, PA 16412
Phone (814) 734-7600

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

2315 Myrtle St
Ste 220
Erie, PA 16502
Phone (814) 454-8185

311 W 24th St
Ste 303
Erie, PA 16502
Phone (814) 454-1530

3530 Peach St
Ste 120
Erie, PA 16508
Phone (814) 453-4718

Interoperability endpoints

  • Direct secure messaging: larry.thompson.1@10044.direct.athenahealth.com
  • Direct secure messaging: larry.thompson.1@28732.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1497709729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST",
            "address_2": "SUITE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851",
            "fax_number": "814-452-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST",
            "address_2": "SUITE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851",
            "fax_number": "814-452-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Shamrock Ln",
            "address_purpose": "LOCATION",
            "city": "Corry",
            "state": "PA",
            "postal_code": "164071196",
            "country_code": "US",
            "telephone_number": "814-665-8288",
            "fax_number": "814-664-8618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LARRY",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD063706L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1590926",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009353940001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00156458",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.