Individual provider Active NPI

Patricia Merideth Thompson, MD

  • Internal Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1871591602
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35054575 Issued in OH
Practice address
30000 E River Rd
Perrysburg, OH 43551-3429
Phone
(419) 661-4001
Fax
(419) 661-4018
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35054575 OH Primary

Addresses

Primary practice location

30000 E River Rd
Perrysburg, OH 43551-3429

Mailing address

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 661-4001

Other identifiers 1

IdentifierTypeStateIssuer
0776763MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130328000540 MI Practitioner - Internal Medicine 4385889054 Reassigns benefits to 1 organization
I20130426000664 OH Practitioner - Internal Medicine 4385889054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35054575OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Northwest Ohio CurrentSince Feb 10, 2013 Accepting new patients
Hospice of Northwest Ohio PastSince Feb 11, 2013 Accepting new patients

Locations

8132 Secor Rd
Lambertville, MI 48144
Phone (419) 661-4001

30000 E River Rd
Perrysburg, OH 43551
Phone (419) 661-4001

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 2

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1871591602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-661-4001",
            "fax_number": "419-661-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-661-4001",
            "fax_number": "419-661-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PATRICIA",
        "middle_name": "MERIDETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35054575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0776763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.