NPIMap

Organization Active NPI

James P Thompson MD PA

  • Ophthalmology Physician
  • Easton, MD
National Provider Identifier
1568622645
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0063440 Issued in MD
Legal business name
JAMES P THOMPSON MD PA
Practice address
8420 Ocean Gtwy
Easton, MD 21601-7169
Phone
(410) 822-0424
Fax
(410) 822-2283
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Derrick Shindler, M.D.NPI 1497763031
Title
President
Phone
(410) 822-0424

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 D0063440 MD Primary

Addresses

Primary practice location

8420 Ocean Gtwy
Easton, MD 21601-7169

Mailing address

8420 Ocean Gtwy
Easton, MD 21601-7169
Phone (410) 822-0424

Other identifiers 1

IdentifierTypeStateIssuer
406795900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000613 MD Part B Supplier - Clinic/Group Practice 6709772064 Receives reassigned benefits from 2 practitioners
Practice locations: Cambridge, MD; Easton, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
James P Thompson MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8420 Ocean Gtwy
Ste 1
Easton, MD 21601
Phone (301) 822-0424

Practitioners & affiliated clinicians

Practitioners 2

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": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1568622645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 OCEAN GTWY",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017169",
            "telephone_number": "410-822-0424",
            "fax_number": "410-822-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 OCEAN GTWY",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017169",
            "telephone_number": "410-822-0424",
            "fax_number": "410-822-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P THOMPSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SHINDLER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-822-0424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0063440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406795900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.