Adam Michael Thompson, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OS020023 Issued in PA

Practice address

525 West Chester Pike
Suite 203
Havertown, PA 19083-4540

Phone

(610) 789-7767

Fax

(610) 789-7768

NPI assigned

Jun 20, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adamthompson@po.allscriptsdirect.net

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.

• A Athlete Sports Medicine, L.L.C.

  • Sports Medicine (Family Medicine) Physician
  • Robbinsville, NJ
  • NPI 1396987715
  Medicare reassignment NPD

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1770933814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WEST CHESTER PIKE",
            "address_2": "SUITE 203",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834540",
            "telephone_number": "610-789-7767",
            "fax_number": "610-789-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WEST CHESTER PIKE",
            "address_2": "SUITE 203",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834540",
            "telephone_number": "610-789-7767",
            "fax_number": "610-789-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS020023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034368800002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minh P Thieu, M.D.
• Sharritha Lynise Thigpen-Wyatt, M.S., CCC-SLP
• Thomas E Klein MD PC
• Nicole Thomas, PA-C
• Katherine Ann Thompson-Mayes, CRNP
• Carla Cathline Thompson
• Sue Thompson
• Amanda Thomson, MA, LPC
• Justine Tidmarsh, MS, OTR/L
• Titleman Orthopedics

• Sports Medicine (Family Medicine) Physician in Havertown, PA
• Providers in Havertown, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.