Organization Active NPI

Thompson & Sjaarda, P.a.

  • Ophthalmology Physician
  • Columbia, MD
National Provider Identifier
1558608786
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THOMPSON & SJAARDA, P.A.
Practice address
9700 Patuxent Woods Dr Ste 110
Columbia, MD 21046-2938
Phone
(410) 772-9700
Fax
(410) 772-9755
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Dr. John Tilynn Thompson, M.D.NPI 1073584439
Title
President
Phone
(410) 296-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

9700 Patuxent Woods Dr Ste 110
Columbia, MD 21046-2938

Mailing address

6569 N Charles St Ste 605
Baltimore, MD 21204-6833
Phone (410) 296-9700

Other names 1

  • Retina Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000765 MD Part B Supplier - Clinic/Group Practice 0941112130 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Columbia, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
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.

Locations

9841 Broken Land Pkwy
Ste 105
Columbia, MD 21046
Phone (410) 772-9700

9700 Patuxent Woods Dr
Ste 110
Columbia, MD 21046
Phone (410) 772-9700

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1558608786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES ST STE 605",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046833",
            "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": "9700 PATUXENT WOODS DR STE 110",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462938",
            "telephone_number": "410-772-9700",
            "fax_number": "410-772-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON & SJAARDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TILYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-296-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.