Organization Active NPI

Barry V. Thompson, M.D. P.a.

  • Family Medicine Physician
  • Crossett, AR
National Provider Identifier
1720011463
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2641 Issued in AR
Legal business name
BARRY V. THOMPSON, M.D. P.A.
Practice address
103 E 3Rd Ave
Crossett, AR 71635-2915
Phone
(870) 364-5746
Fax
(870) 364-5745
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Barry Vincent Thompson, M.D.
Title
President
Phone
(870) 364-5746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R2641 AR Primary

Addresses

Primary practice location

103 E 3Rd Ave
Crossett, AR 71635-2915

Mailing address

103 E 3Rd Ave
Crossett, AR 71635-2915
Phone (870) 364-5746

Other identifiers 1

IdentifierTypeStateIssuer
109790001MedicaidAR

National Provider Directory

National Provider Directory

Locations

103 E 3rd Ave
Crossett, AR 71635
Phone (870) 364-5746

Practitioners & affiliated clinicians

Practitioners 1

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1720011463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 3RD AVE",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352915",
            "telephone_number": "870-364-5746",
            "fax_number": "870-364-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 3RD AVE",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352915",
            "telephone_number": "870-364-5746",
            "fax_number": "870-364-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY V. THOMPSON, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-364-5746",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R2641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109790001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.