EARL R THOMPSON (NPI# 1255338166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255338166 |
| Entity Type | Individual |
| Full Name | EARL R THOMPSON |
| Credential | PA-C |
| Practice Address |
3308 Samson Way Bellevue NE 68123-3234 |
| Mailing Address |
Po Box 642117 Omaha NE 68164-8117 |
| Practice Telephone | 4022913373 |
| Mailing Telephone | 4023986254 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1084/001528 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 1084/001528 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 38601 | 01 |
| NE | WELLMARK BCBS | 90803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225319627 | Earl Arthur Thompson IIi | Pharmacist | 1964 Fuller Ave Ne, Grand Rapids, MI 49505-4861 | 2011-08-30 |
| 1952627853 | Earl Van Horn Thompson Iv | Colon & Rectal Surgery | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2010-04-16 |
| Street Address |
3308 SAMSON WAY |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700264892 | Mark Weilage | Psychologist | 3308 Samson Way, Suite 101, Bellevue, NE 68123-3234 | 2015-05-11 |
| 1497034045 | John E Nunamaker | Counselor | 3308 Samson Way, Suite 203, Bellevue, NE 68123-3234 | 2011-08-15 |
| 1740596576 | Lindsay Grace Stayton | Social Worker | 3308 Samson Way, Bellevue, NE 68123-3234 | 2010-08-31 |
| 1013243922 | Kim Groenjes | Nurse Practitioner | 3308 Samson Way, Suite 203, Bellevue, NE 68123-3234 | 2009-10-28 |
| 1316169196 | Peggy Helen Jones | Obstetrics & Gynecology | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-05-02 |
| 1932320066 | Sunil Kumar Jagadesh | Internal Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-05-02 |
| 1437373081 | Khalil John Burhan | Family Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-04-13 |
| 1043360043 | John Harris | Internal Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-01-11 |
| 1356491351 | Jeffrey Stearnes | Obstetrics & Gynecology | 3308 Samson Way, Suite 201, Bellevue, NE 68123-3234 | 2007-01-11 |
| 1710036959 | Larry Brown | Internal Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1174899017 | Amber Tario Gudas | Physician Assistant | 1414 116th Ave Ne Ste E, Bellevue, WA 98004-3801 | 2012-03-26 |
| 1003103565 | Stefany Jeneifer Cameron | Physician Assistant | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 | 2011-07-06 |
| 1770746505 | Erik H Suh Md Ps | Physician Assistant | 2100 116th Ave Ne, Bellevue, WA 98004 | 2008-07-02 |
| 1700099736 | Michelle M Berlin | Physician Assistant | 2206 Longo Dr Ste 107, Bellevue, NE 68005-2977 | 2007-05-07 |
| 1164569315 | Kristeen Lee Budreau | Physician Assistant | 6639 161st Ave Se, Unit B, Bellevue, WA 98006-5687 | 2007-01-30 |
| 1013012491 | Joseph A. Stangl | Physician Assistant | 3802 Raynor Pkwy, Bellevue, NE 68123-6048 | 2006-09-13 |
| 1528088952 | Patricia L Lightfoot | Physician Assistant | 1135 116th Ave Ne Ste 560, Bellevue, WA 98004-4631 | 2006-07-20 |
| 1831176395 | Anthony Aaron Meador | Physician Assistant | 15585 Ne 24th St, Bellevue, WA 98007-3836 | 2005-12-27 |
| 1821615337 | Nicole Weedman | Physician Assistant | 2206 Longo Dr, Bellevue, NE 68005-2901 | 2020-06-30 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on EARL R THOMPSON.
| 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.