NPIMap

Individual provider Active NPI

Bobby Aaron Thompson, M.D.

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1720020662
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E4214 Issued in AR
Practice address
1015 W Kingshighway
Paragould, AR 72450-4142
Phone
(870) 239-4076
Fax
(870) 239-4079
NPI assigned
Jun 12, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E4214 AR Primary

Addresses

Primary practice location

1015 W Kingshighway
Paragould, AR 72450-4142

Mailing address

1015 W Kingshighway
Paragould, AR 72450-4142
Phone (870) 239-4076

Other identifiers 1

IdentifierTypeStateIssuer
157098001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000308 AR Practitioner - Family Practice 8224080668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Clinic of ParagouldGroup PAC ID 8921021460, 4 clinicians

Practice addresses (Care Compare)

1015 W Kingshighway
Paragould, AR 72450-4142
Phone 8702394076203

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4214ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Clinic of Paragould Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Hendrix Medical Services PLLC Family Medicine PastSince Aug 1, 2006 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

1015 W Kingshighway
Paragould, AR 72450
Phone (870) 239-4076

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGAAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1720020662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504142",
            "telephone_number": "870-239-4076",
            "fax_number": "870-239-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504142",
            "telephone_number": "870-239-4076",
            "fax_number": "870-239-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BOBBY",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157098001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.