Active NPI
Reese E. Thompson, M.D.
- Otolaryngology Physician
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 113750
- Practice address
- 1241 W Stadium Blvd
Jefferson City, MO 65109-6023 - Phone
- (573) 556-7708
- Fax
- (573) 893-8061
- NPI assigned
- Feb 9, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 113750 | MO | Primary |
Addresses
Primary practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Mailing address
PO Box 104240
Jefferson City, MO 65110-4240
Phone (573) 556-7708
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040011739 | Other | MO | MEDICARE RAILROAD |
| 123155 | Other | MO | GHP |
| CD6060 | Other | MO | RAILROAD GROUP |
| 113470 | Other | MO | BCBS |
| 0335266 | Other | MO | HEALTHLINK |
| 209663509 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 556-5771
Hospital & facility affiliations
- SSM Health St. Mary'S Hospital - Jefferson City
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Past | Accepting new patients |
Locations
1241 W Stadium Blvd
Ste 1000
Jefferson City, MO 65109
Phone (573) 556-7708
3520 W Edgewood Dr
Jefferson City, MO 65109
Phone (573) 556-7765
1241 W Stadium Blvd
#L400B
Jefferson Cty, MO 65109
Phone (573) 556-7724
1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771
1055 Ozark Care Dr
Ste A
Osage Beach, MO 65065
Phone (573) 348-0825
Interoperability endpoints
- reese.thompson@jcmg.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1336189398
-
- Hematology & Oncology Physician
- Jefferson City, MO
- NPI 1215093257
-
- Clinical Medical Laboratory
- Jefferson City, MO
- NPI 1811292105
-
- Family Medicine Physician
- Linn, MO
- NPI 1083661615
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1922071992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 104240",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651104240",
"telephone_number": "573-556-7708",
"fax_number": "573-893-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 W STADIUM BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096023",
"telephone_number": "573-556-7708",
"fax_number": "573-893-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "REESE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "113750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "040011739",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "123155",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "CD6060",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "113470",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "0335266",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209663509",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.