GLEN THOMPSON III


Address: 138 Raven Dr, Berea, KY 40403
Phone: 8592003356

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000000493588 01

Other Providers GLEN THOMPSON

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

Office Location

Street Address 138 RAVEN DR
City BEREA
State KY
Zip Code 40403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881816130 Thompson First Surgical Assisting Specialist/Technologist, Other 138 Raven Dr, Berea, KY 40403 2007-05-03

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 246ZS0410X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Technologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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City BEREA
Zip Code 40403

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Dataset Information

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.

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