Wesley D Thompson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036108349 Issued in IL

Practice address

213 NW 10TH St
Fairfield, IL 62837-1219

Phone

(618) 842-4617

Fax

(618) 842-4743

NPI assigned

Jun 30, 2005

Last updated

May 19, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: wthompson@yourcarecommunity.org

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1568469971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 NW 10TH ST",
            "address_2": "SUITE A",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371219",
            "telephone_number": "618-842-4617",
            "fax_number": "618-842-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NW 10TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371219",
            "telephone_number": "618-842-4617",
            "fax_number": "618-842-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "WESLEY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gaye Tennyson, M.ED.
• The Heart Group
• The Medicine Shoppe
• Emily S Thomann, DPT
• Deandra Marissah Thompson, PA
• Janie Tibbs
• Total Renal Care Inc (Wayne County Dialysis)
• Mikayla Troyer
• Sarah R Turner
• Brian Frank Vahl

• Family Medicine Physician in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.