Individual provider Active NPI

Christine C Thompson, MD

  • Specialist
  • N Charleston, SC
National Provider Identifier
1871522862
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13532 Issued in SC
Practice address
2690 Lake Park Dr
N Charleston, SC 29406-9100
Phone
(843) 764-0992
Fax
(843) 764-3187
NPI assigned
Jul 2, 2006
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13532 SC Primary

Addresses

Primary practice location

2690 Lake Park Dr
N Charleston, SC 29406-9100

Mailing address

719 Ralston CT
Mount Pleasant, SC 29464-3572
Phone (843) 884-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20081106000339 SC Practitioner - Internal MedicinePractitioner - Anesthesiology 9335208289 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Infusion Services LLC CurrentSince Dec 1, 2015 Accepting new patients
Coastal Healthcare Resources Inc CurrentSince Mar 14, 2011 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Charleston Anesthesia Group LLC Past Accepting new patients

Locations

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398

1300 Hospital Dr
Ste 100
Mt Pleasant, SC 29464
Phone (843) 849-8418

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

9295 Medical Plaza Dr
Ste C
North Charleston, SC 29406
Phone (843) 414-0287

5500 Front St
Ste 110
Summerville, SC 29486

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1871522862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 RALSTON CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643572",
            "telephone_number": "843-884-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 LAKE PARK DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069100",
            "telephone_number": "843-764-0992",
            "fax_number": "843-764-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHRISTINE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "13532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.