NPIMap

Organization Active NPI

Albert P. Thompson

Doing business as Bayshore Family Medicine

  • Family Medicine Physician
  • Lincoln City, OR
National Provider Identifier
1871819573
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD13058 Issued in OR
Legal business name
ALBERT P. THOMPSON
Doing business as
Bayshore Family Medicine
Practice address
1105 SE Jetty Ave
Suite C
Lincoln City, OR 97367-2632
Phone
(503) 965-6555
Fax
(503) 965-6800
NPI assigned
Apr 20, 2010
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Sydney Thompson
Title
Practice Administrator
Phone
(503) 965-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD13058 OR Primary

Addresses

Primary practice location

1105 SE Jetty Ave
Suite C
Lincoln City, OR 97367-2632

Mailing address

PO Box 655
Pacific City, OR 97135-0655
Phone (503) 965-6555

Other identifiers 1

IdentifierTypeStateIssuer
129788MedicaidOR

Other names 1

  • Bayshore Family Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1871819573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "971350655",
            "telephone_number": "503-965-6555",
            "fax_number": "503-965-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SE JETTY AVE",
            "address_2": "SUITE C",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672632",
            "telephone_number": "503-965-6555",
            "fax_number": "503-965-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT P. THOMPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "503-965-6555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD13058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129788",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.