Active NPI
Robert B Thompson, MD
- Emergency Medicine Physician
- Plattsburgh, NY
National Provider Identifier
1811064587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 160381-1
- Practice address
- 3962 State Route 9
Plattsburgh, NY 12901-8538 - Phone
- (518) 561-9609
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 160381-1 | NY | |
| Emergency Medicine Physician | 207P00000X | 160381-1 | NY | Primary |
Addresses
Primary practice location
3962 State Route 9
Plattsburgh, NY 12901-8538
Mailing address
3962 State Route 9
Plattsburgh, NY 12901-8538
Phone (518) 561-9609
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010160381 | Other | EXCELLUS | |
| 01970341 | Medicaid | NY | |
| 141338471 | Other | NY | FIDELIS |
| 000490094001 | Other | NY | BSNENY |
| 0927V2 | Other | EMPIRE | |
| 10490635 | Other | CAQH | |
| 141338471 | Other | NY | GHI |
| 114406 | Other | NY | VALUE OPTIONS |
| 90031 | Other | NY | MVP |
| P010160381 | Other | NY | EXCELLUS |
| 141338471 | Other | UNITED HEALTHCARE | |
| 141338471 | Other | NY | AETNA |
| 141338471 | Other | NY | MARTINS POINT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160381-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exigence of Bradford LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Bradford, PA
- NPI 1942452933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1811064587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3962 STATE ROUTE 9",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129018538",
"telephone_number": "518-561-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3962 STATE ROUTE 9",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129018538",
"telephone_number": "518-561-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "160381-1",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "160381-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P010160381",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01970341",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000490094001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "0927V2",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10490635",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "114406",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "90031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P010160381",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "141338471",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARTINS POINT",
"identifier": "141338471",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.