NPIMap

Organization Active NPI

Stephen C. Thompson, M.D.,S.C.

  • Obstetrics & Gynecology Physician
  • Peoria, IL
National Provider Identifier
1922042233
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036076612 Issued in IL
Legal business name
STEPHEN C. THOMPSON, M.D.,S.C.
Practice address
5401 N Knoxville Ave
Suite 119
Peoria, IL 61614-5098
Phone
(309) 692-1700
Fax
(309) 692-1771
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Stephen C Thompson, M.D.
Title
Owner
Phone
(309) 692-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036076612 IL Primary

Addresses

Primary practice location

5401 N Knoxville Ave
Suite 119
Peoria, IL 61614-5098

Mailing address

PO Box 9726
Peoria, IL 61612-9726
Phone (309) 692-1700

National Provider Directory

National Provider Directory

Locations

5401 N Knoxville Ave
Ste 119
Peoria, IL 61614
Phone (309) 692-1700

221 N E Gln Oak Ave
Peoria, IL 61636
Phone (309) 372-5522

530 N E Gln Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1922042233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9726",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616129726",
            "telephone_number": "309-692-1700",
            "fax_number": "309-692-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 119",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-692-1700",
            "fax_number": "309-692-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C. THOMPSON, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-692-1700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036076612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.