ALICIA D THOMPSON (NPI# 1053321596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053321596 |
| Entity Type | Individual |
| Full Name | ALICIA D THOMPSON |
| Credential | M.D. |
| Practice Address |
604 S Classen Ave Ste F Moore OK 73160-5403 |
| Mailing Address |
15005 Salem Creek Rd Edmond OK 73013-2455 |
| Practice Telephone | 4057900500 |
| Practice Fax Number | 4057900501 |
| Mailing Telephone | 5734242308 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25776 | OK | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MO108326 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
108326 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25776 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100125890A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972042760 | Alicia Thompson | Midwife | 24215 Dybedal Rd, Mason, WI 54856-3027 | 2017-02-14 |
| 1346622099 | Alicia Thompson | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-18 |
| 1518427624 | Alicia Thompson | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0293 | 2019-03-23 |
| 1336672948 | Alicia Thompson | Dietitian, Registered | 17296 Slover Ave, Fontana, CA 92337-7585 | 2017-04-10 |
| 1497122097 | Alicia Thompson | Speech-Language Pathologist | 6529 3rd St Nw, Washington, DC 20012-2703 | 2015-08-31 |
| 1578707840 | Alicia Jacqueline Thompson | Pharmacist | 3330 W Friendly Ave, Greensboro, NC 27410-4806 | 2009-04-29 |
| 1477740280 | Alicia Anne Thompson | Physician Assistant | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-09-26 |
| 1508998725 | Alicia Watson Thompson | Obstetrics & Gynecology | 1 Wyoming St, Suite 4130, Dayton, OH 45409-2722 | 2007-03-12 |
| Street Address |
604 S CLASSEN AVE STE F |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043590722 | Alicia Thompson Md Pllc | Psychiatry & Neurology | 604 S Classen Ave Ste F, Moore, OK 73160-5403 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043590722 | Alicia Thompson Md Pllc | Psychiatry & Neurology | 604 S Classen Ave Ste F, Moore, OK 73160-5403 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528512183 | Olive Branch Psychiatry | Psychiatry & Neurology | 1900 E 15th St Ste C, Edmond, OK 73013 | 2016-08-11 |
| 1316176340 | Andrew Hyun Liew | Psychiatry & Neurology | 4444 E 41st St Fl 3, Tulsa, OK 74135-2527 | 2009-07-13 |
| 1285775759 | Sridevi Nagumalli | Psychiatry & Neurology | 705 Scottsbluff, Norman, OK 73072-4835 | 2007-02-09 |
| 1851475198 | Sylvia J Turner | Psychiatry & Neurology | Dept. of The Army; Usameddac, Attn: Mcua-cmh: Dr.sylvia Turner, Fort Sill, OK 73505-6300 | 2006-10-24 |
| 1508963406 | Craig Steven Tutton | Psychiatry & Neurology | 1212 Merrick Drive, Ardmore, OK 73401 | 2006-09-20 |
| 1609980937 | Craig S Tutton Md, Inc PC | Psychiatry & Neurology | 1212 Merrick Dr, Ardmore, OK 73401-1824 | 2006-08-17 |
| 1285640102 | Chariny Michelle Herring | Psychiatry & Neurology | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2006-07-31 |
| 1235166364 | Michelle Marie Holloway | Psychiatry & Neurology | 2129 Sw 59th Street, Oklahoma City, OK 73159-7024 | 2006-06-26 |
| 1366427478 | Robyn Cowperthwaite | Psychiatry & Neurology | 4200 W Memorial Rd Ste 503, Oklahoma City, OK 73120-8305 | 2005-12-12 |
| 1225022924 | Linda K Ramer | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2005-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.