GLEN THOMPSON III (NPI# 1629299268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629299268 |
| Entity Type | Individual |
| Full Name | GLEN THOMPSON III |
| Credential | CSA |
| Practice Address |
138 Raven Dr Berea KY 40403 |
| Practice Telephone | 8592003356 |
| Practice Fax Number | 5024519291 |
| Mailing Telephone | 8592003356 |
| Mailing Fax Number | 5024519291 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
2222 | KY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000493588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073630778 | Glen Alan Thompson | Pharmacist | 1515 6th Ave South, Cooper Green Hospital, Birmingham, AL 35233 | 2007-03-26 |
| 1417967936 | Glen D. Thompson | Dentist | 320 E Armstrong Ave, Peoria, IL 61603-3172 | 2006-08-08 |
| Street Address |
138 RAVEN DR |
| City | BEREA |
| State | KY |
| Zip Code | 40403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881816130 | Thompson First Surgical Assisting | Specialist/Technologist, Other | 138 Raven Dr, Berea, KY 40403 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265558811 | Cathy Wall | Specialist/Technologist, Other | 867 Dreyfus Rd, Berea, KY 40403-9619 | 2007-03-22 |
| 1881816130 | Thompson First Surgical Assisting | Specialist/Technologist, Other | 138 Raven Dr, Berea, KY 40403 | 2007-05-03 |
| 1962521492 | Faith Based Surgical Assisting,llc | Specialist/Technologist, Other | 867 Dreyfus Rd, Berea, KY 40403-9619 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992113005 | Jamie Lavery | Specialist/Technologist, Other | 1809 Booth Quillen Rd, Ashland, KY 41102-9726 | 2014-08-01 |
| 1922445832 | Travis Charles Wooldridge | Specialist/Technologist, Other | 520 Kelly Rd, Bowling Green, KY 42101-9557 | 2013-05-31 |
| 1487982294 | Matthew Shoulders | Specialist/Technologist, Other | 311 Cedar Way, Frankfort, KY 40601-9003 | 2009-12-07 |
| 1265760383 | Stacy Lynn Lowe | Specialist/Technologist, Other | 9023 Wanlou Dr, Louisville, KY 40272-2744 | 2009-12-01 |
| 1083850788 | Patty Lou Mabe | Specialist/Technologist, Other | 109 Lone Star Tower Rd, Bonnieville, KY 42713-8444 | 2008-12-30 |
| 1194960666 | Christopher Wayne Marcum | Specialist/Technologist, Other | 1125 Bewley Hollow Rd, Elizabethtown, KY 42701-6414 | 2008-12-11 |
| 1538345764 | Lisa L Whitlow | Specialist/Technologist, Other | 2341 Lime Kiln Ln, Louisville, KY 40222-3460 | 2008-01-17 |
| 1366642605 | Pamela Kay Snead | Specialist/Technologist, Other | 7684 Princeton Rd, Hopkinsville, KY 42240-9544 | 2007-07-24 |
| 1912108374 | Teresa Lynn Mullins | Specialist/Technologist, Other | 1300 Andrea St Ste 105, Bowling Green, KY 42104-3382 | 2007-05-31 |
| 1679783039 | Summer Lewis, Cfa, LLC | Specialist/Technologist, Other | 4703 Oak Pointe Dr, Louisville, KY 40245-6439 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GLEN THOMPSON III.
| 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.