NPIMap

Organization Active NPI

Charles D Thompson MD PLLC

  • Obstetrics & Gynecology Physician
  • Greenville, TX
National Provider Identifier
1528378353
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H6650 Issued in TX
Legal business name
CHARLES D THOMPSON MD PLLC
Practice address
3900 Joe Ramsey Blvd E
Suite E
Greenville, TX 75401-7770
Phone
(903) 454-1722
Fax
(903) 454-1750
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Charles D Thompson, M.D.
Title
Owner
Phone
(903) 454-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X H6650 TX Primary

Addresses

Primary practice location

3900 Joe Ramsey Blvd E
Suite E
Greenville, TX 75401-7770

Mailing address

3900 Joe Ramsey Blvd E
Suite E
Greenville, TX 75401-7770
Phone (903) 454-1722

Other identifiers 1

IdentifierTypeStateIssuer
216349501MedicaidTX

National Provider Directory

National Provider Directory

Locations

3900 Joe Ramsey Blvd E
Ste E
Greenville, TX 75401
Phone (903) 454-1722

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1528378353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D THOMPSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-454-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H6650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216349501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.