Active NPI
Adrian Thompson Sr.
- Driver
- Euclid, OH
National Provider Identifier
1932502176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 80-0579796
- Practice address
- 23206 Gay Street
Euclid, OH 44123 - Phone
- (216) 347-2883
- Fax
- (216) 731-0927
- NPI assigned
- Oct 2, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 80-0579796 | OH | Primary |
Addresses
Primary practice location
23206 Gay Street
Euclid, OH 44123
Mailing address
23206 Gay Street
Euclid, OH 44123
Phone (216) 347-2883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3120732 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80-0579796 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1932502176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23206 GAY STREET",
"city": "EUCLID",
"state": "OH",
"postal_code": "44123",
"telephone_number": "216-347-2883",
"fax_number": "216-731-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23206 GAY STREET",
"city": "EUCLID",
"state": "OH",
"postal_code": "44123",
"telephone_number": "216-347-2883",
"fax_number": "216-731-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ADRIAN",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-02",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "80-0579796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3120732",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.