Individual provider Active NPI

Derek Wyman Thomson, D.O

  • Family Medicine Physician
  • Camden, OH
National Provider Identifier
1790917656
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-010834 Issued in OH
Practice address
79 W Central Ave
Camden, OH 45311-1007
Phone
(937) 452-1201
Fax
(513) 664-3911
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 34-010834 OH Primary

Addresses

Primary practice location

79 W Central Ave
Camden, OH 45311-1007

Mailing address

79 W Central Ave
Camden, OH 45311-1007
Phone (937) 452-1201

Other identifiers 1

IdentifierTypeStateIssuer
0086354MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130619000162 OH Practitioner - Family Practice 8123267382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians
Thomson Medical LLCGroup PAC ID 2860631025, 2 clinicians

Practice addresses (Care Compare)

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

4166 Somerville Rd
Somerville, OH 45064-9707
Phone (513) 523-4449

79 W Central Ave
Camden, OH 45311-1007
Phone (937) 452-1201

Hospital & facility affiliations

  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-010834OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Feb 23, 2026 Accepting new patients
Thomson Medical, LLC Family Medicine CurrentSince Mar 31, 2013 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Feb 23, 2026 Accepting new patients

Locations

79 W Central Ave
Camden, OH 45311
Phone (937) 452-1201

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1790917656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-1201",
            "fax_number": "513-664-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-1201",
            "fax_number": "513-664-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "DEREK",
        "middle_name": "WYMAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-010834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, OH

Sources for this page

Verify at the official NPI Registry.