Gauthama Thompson, River Valley Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1066 Issued in ME

Legal business name

GAUTHAMA THOMPSON, RIVER VALLEY CHIROPRACTIC, P.A.

Practice address

344 Hancock St
Suite 1
Rumford, ME 04276-1937

Phone

(207) 364-7931

Fax

(207) 364-3644

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gauthama Thompson, DC

Title

President

Phone

(207) 364-7931

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1891901252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HANCOCK ST",
            "address_2": "SUITE 1",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761937",
            "telephone_number": "207-364-7931",
            "fax_number": "207-364-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 HANCOCK ST",
            "address_2": "SUITE 1",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761937",
            "telephone_number": "207-364-7931",
            "fax_number": "207-364-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTHAMA THOMPSON, RIVER VALLEY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GAUTHAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-364-7931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328880099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042297",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M23278",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "024970",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter C. Everett, O.D.
• Scott Fraser
• Deborah A Frino, OT
• Travis James Frost
• Sophia Garbarini, FNP-C
• Glenn Robert Gordon, LADC, MHRT-CSP
• Megan Wakley Greene, PHARMD
• Becky Ann Hall, RNFA
• Rachael Hall, LD
• Donna Hamilton, LPN

• All providers in Rumford, ME
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.