Gregory John Thomson, M.D.

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

12812A Issued in WY

Practice address

555 E Broadway Ave
Jackson, WY 83001-8640

Phone

(833) 437-4863

Fax

(949) 561-4107

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kristin L Wright NP, LLC

  • Family Nurse Practitioner
  • Jackson, WY
  • NPI 1164184545
  NPD (past)
• Missoula Bone & Joint Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Missoula, MT
  • NPI 1639126303
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1992870471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W PEARL ST UNIT 4313",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830015473",
            "telephone_number": "503-913-5548",
            "fax_number": "949-561-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BROADWAY AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018640",
            "telephone_number": "833-437-4863",
            "fax_number": "949-561-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 W Broadway Ave Apt 202",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018217",
            "country_code": "US",
            "telephone_number": "833-437-4863",
            "fax_number": "949-561-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AK",
            "license": "MEDS7811",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "WY",
            "license": "12812A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262452",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASH L & I",
            "identifier": "158337",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114511",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Lab, LLC
• The Physio Tune
• Theresa Lerch C FNP CNM PC
• Heather Marie Thomas
• Lorraine Thompson, LPC, NCC
• John Patterson Thorn, PH.D.
• Michael Bennett Tilden, LCSW, CTRS, AMGA-SPI
• Tom Pockat MD PC
• Rudelle A Toman, D.C.
• David J Tomlinson, M.D.

• Orthopaedic Trauma Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Orthopaedic Trauma Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.