DR. GREGORY M. THOMPSON (NPI# 1063410702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063410702 |
Entity Type | Individual |
Full Name | DR. GREGORY M. THOMPSON |
Credential | M.D. |
Practice Address |
255 W Lancaster Ave Pmob IIi, Suite 333 Paoli PA 19301-1763 |
Mailing Address |
140 W Germantown Pike Ste 250 Plymouth Meeting PA 19462-1421 |
Practice Telephone | 6106449600 |
Practice Fax Number | 6106440804 |
Mailing Telephone | 4845300205 |
Mailing Fax Number | 4845300209 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-02-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | MD04339E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK BS | 557113 | 01 |
PA | 0011574150003 | 05 | |
PA | IBC | 03752592000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407127947 | Gregory Alan Thompson | Internal Medicine | 13 Oak Meadow Ln, Carmel Valley, CA 93924-9455 | 2012-01-13 |
1033417647 | Gregory Phillip Thompson | Physical Therapist | 20 Saddlebrook Ct, Orchard Park, NY 14127-5001 | 2011-03-05 |
1770896698 | Gregory J Thompson | Counselor | 9720 Sw Burton Dr, Vashon, WA 98070-7002 | 2010-07-20 |
1538372594 | Gregory Thompson | Counselor | 2501 W. Shaw #101, Fresno, CA 93711 | 2007-05-07 |
1922148394 | Gregory Ahern Thompson | Neuromusculoskeletal Medicine & OMM | 1891 Honeysuckle Rd Ste 1, Dothan, AL 36305-4291 | 2007-02-07 |
1023176963 | Gregory Alan Thompson | Dentist | Navajo Route 12 & 64, Tsaile Health Center, Tsaile, AZ 86556 | 2006-12-04 |
1841307980 | Gregory L Thompson | Chiropractor | 3305 Ne Loop 286, Ste A, Paris, TX 75460 | 2006-08-24 |
1912949892 | Gregory Scott Thompson | Emergency Medicine | 113 Stephanie Ave, Lafayette, LA 70503-3149 | 2006-06-12 |
1114920311 | Gregory Allen Thompson | Internal Medicine | 33 W Monroe St, Suite 600, Chicago, IL 60603-5300 | 2005-05-23 |
1346878097 | Gregory Paul Thompson | Student in an Organized Health Care Education/Training Program | 701 Park Ave South, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2020-03-30 |
Street Address |
255 W LANCASTER AVE PMOB III, SUITE 333 |
City | PAOLI |
State | PA |
Zip Code | 19301-1763 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679576144 | Victoriya K Hageney | Internal Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2005-05-27 |
1548874597 | Tam T Nguyen | Registered Nurse | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-09-06 |
1447864020 | Monica Anne Disipio | Nurse Practitioner | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-09-01 |
1194340786 | Natalie Toner | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-06-10 |
1932732138 | Cynthia Ayoki Okech | Registered Nurse | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-02-15 |
1013552983 | Ashley Diane Olley | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-11-14 |
1982247078 | Kelsy Kauffman | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-10-22 |
1245880707 | Melissa Ann Stefanosky | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-09-17 |
1558923425 | Cara Rose Weinstein | Genetic Counselor, MS | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-07-01 |
1780240887 | Rachel Michalek | Nurse Practitioner | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
1396935912 | Joseph A Graversen | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2007-07-30 |
1396869012 | Western Main Line Urology PC | Urology | 255 W Lancaster Ave, Suite 333, Paoli, PA 19301-1763 | 2007-03-19 |
1922112119 | James R Bollinger, Md PC | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2006-08-18 |
1336156785 | James Richard Bollinger | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
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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.