Organization Active NPI

Thompson Healthcare Provider Services LLC

  • Physician Assistant
  • Moore, TX
National Provider Identifier
1831258516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04256 Issued in TX
Legal business name
THOMPSON HEALTHCARE PROVIDER SERVICES LLC
Practice address
16444 Interstate Highway 35 South
Moore, TX 78057
Phone
(830) 334-7289
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Will Donn Thompson, PA-CNPI 1659310175
Title
Chairman Managing Member
Phone
(830) 334-7289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04256 TX Primary

Addresses

Primary practice location

16444 Interstate Highway 35 South
Moore, TX 78057

Mailing address

PO Box 76
Moore, TX 78057-0076
Phone (830) 334-7289

National Provider Directory

National Provider Directory

Locations

3007 N Navarro St
Victoria, TX 77901
Phone (361) 575-2356

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831258516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "MOORE",
            "state": "TX",
            "postal_code": "780570076",
            "telephone_number": "830-334-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16444 INTERSTATE HIGHWAY 35 SOUTH",
            "city": "MOORE",
            "state": "TX",
            "postal_code": "78057",
            "telephone_number": "830-334-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON HEALTHCARE PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "DONN",
        "authorized_official_title_or_position": "CHAIRMAN MANAGING MEMBER",
        "authorized_official_telephone_number": "830-334-7289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.