Michael Lee Thompson, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

4389 Beaufort Rd
Naval Health Clinic Cherry Point
Cherry Point, NC 28533

Phone

(252) 466-0355

Fax

(252) 466-0476

NPI assigned

Dec 18, 2008

Last updated

Dec 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1871739045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BATTLEGROUND AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285607030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 BEAUFORT RD",
            "address_2": "NAVAL HEALTH CLINIC CHERRY POINT",
            "city": "CHERRY POINT",
            "state": "NC",
            "postal_code": "28533",
            "telephone_number": "252-466-0355",
            "fax_number": "252-466-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• George James Semple, DO
• Gabriel Spence, CRNA
• Nicholas Turi
• John Garrett Vollino, DO
• Tanner Isaac Wakefield, DDS
• Ricardo J Wassmer IV, DDS, MS
• Emily Ann Williams, P.T.

• Independent Duty Corpsman in Cherry Point, NC
• Providers in Cherry Point, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.