Thomson Medical, LLC
Organization Active NPI Family Medicine Physician · Camden, OH
NPI 1871836742 · NPPES record last updated Sep 30, 2013
Key facts
- NPI
- 1871836742
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- THOMSON MEDICAL, LLC
- Practice address
- 79 W Central Ave
Camden, OH 45311-1007 - Phone
- (937) 452-1201
- Fax
- (937) 452-0004
- NPI assigned
- Mar 29, 2013
- Organization subpart
- No
Authorized official
- Name
- Derek W Thomson, DO
- Title
- Owner
- Phone
- (937) 452-1201
Practitioners 3
-
Ashley Danielle Lamb, APRN, CNP, FNP-C
-
Derek Wyman Thomson, D.O
-
James W. Thomson, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130619000143 | OH | Part B Supplier - Clinic/Group Practice | 2860631025 |
Receives reassigned benefits from 2 practitioners Practice locations: Camden, OH; Oxford, OH; Somerville, OH |
National Provider Directory
Locations
6099 Fairfield Rd
Oxford, OH 45056
Phone (513) 523-5363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
79 W Central Ave
Camden, OH 45311-1007
Mailing address
PO Box 39
Camden, OH 45311-0039
Phone (937) 452-1201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089156 | Medicaid | OH |
Other providers in Camden, OH
- Cathleen Schweinfest
- Shannon Elizabeth Steele
- Jessica Stubbs
- Ethan Conner Summers
- The Home Farms Residential Services, LLC
- Derek Wyman Thomson
- James W. Thomson
- Thrive Therapeutics
- Madison Renee Wood
- Abby Woodard
All providers in Camden, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.