Paul E. Thompson Jr., MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

16369 Issued in SC

Practice address

12 Boardwalk PL
Suite 1a
Seneca, SC 29678-2671

Phone

(264) 228-5933

Fax

(264) 225-9404

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rosa Clark Medical Center

  • Federally Qualified Health Center (FQHC)
  • Seneca, SC
  • NPI 1508903394
  Medicare reassignment NPD
• Rosa Clark Medical Clinic Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Westminster, SC
  • NPI 1316794639
  NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1992742902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296792020",
            "telephone_number": "864-882-5933",
            "fax_number": "864-885-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOARDWALK PL",
            "address_2": "SUITE 1A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782671",
            "telephone_number": "264-228-5933",
            "fax_number": "264-225-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAUL",
        "middle_name": "E.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "16369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0707",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon
• The Pharmacy at Park Place
• The Sunshine Speech Company, LLC
• The Upstate'S Golden Corner of Psychiatry
• Nancy Matz Thiel, DC
• Abbee Thorpe
• Madison Thrasher, RN
• Thrive Counseling and Wellness, LLC
• Thrive Mobile PT & Wellness LLC
• Joseph Tiller

• Gastroenterology Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.