Individual provider Active NPI

Mark Ernest Thompson, M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1821017484
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K6361 Issued in TX
Practice address
502 Madison Oak Dr
Suite 240
San Antonio, TX 78258-4084
Phone
(210) 495-1900
Fax
(210) 650-5975
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K6361 TX Primary

Addresses

Primary practice location

502 Madison Oak Dr
Suite 240
San Antonio, TX 78258-4084

Mailing address

1355 Central Pkwy S
Suite 400
San Antonio, TX 78232-5055
Phone (210) 590-6195

Other identifiers 2

IdentifierTypeStateIssuer
045624601MedicaidTX
045624602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090723000103 TX Practitioner - Obstetrics/Gynecology 0244382158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Healthcare Associates, PLLCGroup PAC ID 9133271216, 22 clinicians

Practice addresses (Care Compare)

18772 Forty Six Pkwy
BLDG 5
Spring Branch, TX 78070-2374
Phone (210) 653-5501

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Healthcare Associates, PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2009 Accepting new patients
Methodist Healthcare System of San Antonio LTD LLP Past Accepting new patients
Northeast OB/GYN Associates, PLLC Obstetrics & Gynecology Past Accepting new patients
Northeast Pediatric Associates PA PastSince Aug 1, 2009 Accepting new patients

Locations

12602 Toepperwein Rd
Ste 201
Live Oak, TX 78233
Phone (210) 646-0404

1139 E Sonterra Blvd
Ste 205
San Antonio, TX 78258
Phone (210) 614-2229

1355 Central Pkwy S
Ste 400
San Antonio, TX 78232
Phone (210) 349-9300

502 Madison Oak Dr
Ste 240
San Antonio, TX 78258
Phone (210) 495-1900

1139 E Sonterra Blvd
#205
San Antonio, TX 78258
Phone (210) 614-2229

14100 San Pedro Ave
Ste 200
San Antonio, TX 78232

5000 Schertz Pkwy
Ste 100
Schertz, TX 78154
Phone (210) 650-9978

18772 Forty Six Pkwy
Spring Branch, TX 78070

18772 Forty Six Pkwy
Bldg 5
Spring Branch, TX 78070
Phone (210) 692-3636

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1821017484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CENTRAL PKWY S",
            "address_2": "SUITE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325055",
            "telephone_number": "210-590-6195",
            "fax_number": "210-650-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR",
            "address_2": "SUITE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584084",
            "telephone_number": "210-495-1900",
            "fax_number": "210-650-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARK",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K6361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045624601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045624602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.