Active NPI
Jeffery Noel Thompson, MD
- Internal Medicine Physician
- Olympia, WA
National Provider Identifier
1912224981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00030870
- Practice address
- 626 8TH Ave SE
Olympia, WA 98504-0001 - Phone
- (360) 725-1612
- NPI assigned
- Apr 29, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00030870 | WA | Primary |
Addresses
Primary practice location
626 8TH Ave SE
Olympia, WA 98504-0001
Mailing address
626 8TH Ave SE
Olympia, WA 98504-0001
Phone (360) 725-1612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00030870 | Other | WA | STATE 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00030870 | WA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1912224981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 8TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985040001",
"telephone_number": "360-725-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 8TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985040001",
"telephone_number": "360-725-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JEFFERY",
"middle_name": "NOEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00030870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD00030870",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.