Active NPI
Pamela Thompson, DO
- Family Medicine Physician
- Holt, MI
National Provider Identifier
1740244169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101009580
- Practice address
- 4221 Charlar Dr
Holt, MI 48842 - Phone
- (517) 694-7600
- Fax
- (517) 694-7003
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101009580 | MI | Primary |
Addresses
Primary practice location
4221 Charlar Dr
Holt, MI 48842
Mailing address
4221 Charlar Dr
Holt, MI 48842
Phone (517) 694-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0853310394 | Other | MI | BCBS |
| 4570305 | Medicaid | MI |
Other names 1
- Pamela Thompson Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4221 Charlar Dr
Holt, MI 48842-6804
Phone (517) 694-7600
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health - Sparrow Eaton
- McLaren Greater Lansing
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101009580 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- pthompson15757@sparrowdirecthie.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Holt, MI
- NPI 1629249990
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1740244169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 CHARLAR DR",
"city": "HOLT",
"state": "MI",
"postal_code": "48842",
"telephone_number": "517-694-7600",
"fax_number": "517-694-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 CHARLAR DR",
"city": "HOLT",
"state": "MI",
"postal_code": "48842",
"telephone_number": "517-694-7600",
"fax_number": "517-694-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101009580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0853310394",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4570305",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "ROBERTS",
"middle_name": "THOMPSON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.