Active NPI
Kim Yung Sook Thompson, DO
- Family Medicine Physician
- Middleton, WI
National Provider Identifier
1902071301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49839-21
- Practice address
- 2275 Deming Way
Suite 240
Middleton, WI 53562-5527 - Phone
- (608) 662-7762
- Fax
- (608) 662-7769
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49839-21 | WI | Primary |
Addresses
Primary practice location
2275 Deming Way
Suite 240
Middleton, WI 53562-5527
Mailing address
2275 Deming Way
Suite 240
Middleton, WI 53562-5527
Phone (608) 662-7762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49839-21 | Other | WI | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49839-21 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1902071301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 DEMING WAY",
"address_2": "SUITE 240",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625527",
"telephone_number": "608-662-7762",
"fax_number": "608-662-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 DEMING WAY",
"address_2": "SUITE 240",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625527",
"telephone_number": "608-662-7762",
"fax_number": "608-662-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KIM",
"middle_name": "YUNG SOOK",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "49839-21",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "49839-21",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.