DR. JACK HUTCHINSON THOMPSON (NPI# 1679611131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679611131 |
| Entity Type | Individual |
| Full Name | DR. JACK HUTCHINSON THOMPSON |
| Credential | M.D. |
| Practice Address |
18 Rambo Dr Saraland AL 36571-2147 |
| Mailing Address |
Po Box 850489 Mobile AL 36685-0489 |
| Practice Telephone | 2516757433 |
| Practice Fax Number | 2516753470 |
| Mailing Telephone | 2513423949 |
| Mailing Fax Number | 2516313361 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2013-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 5865 | AL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 5865 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | EPSDT | 000487894 | 01 |
| AL | 142410 | 05 | |
| AL | BLUE CROSS | 511-29705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841482932 | Jack Roberts Thompson | Chiropractor | 3336 Carmel Rd, St Augustine, FL 32086-6404 | 2007-08-14 |
| 1427155522 | Jack Christopher Thompson IIi | Dentist | 2225 Olympic Blvd, Walnut Creek, CA 94595-1623 | 2006-09-20 |
| 1952319295 | Jack Finley Thompson Sr. | Dentist | 402 North Main St., N/a, Gordonsville, VA 22942-0445 | 2006-08-03 |
| 1881181386 | Jack Robert Thompson | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2018-04-19 |
| 1649670845 | Jack Thompson | Physical Therapist | 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2317 | 2014-08-26 |
| 1386729663 | Jack H. Thompson Jr. | Physician Assistant | 1901 Floyd St, Sarasota, FL 34239-2932 | 2006-10-26 |
| 1073567798 | Jack F Thompson IIi | Dentist | 402 N Main St, Box 445, Gordonsville, VA 22942-9121 | 2006-05-19 |
| Street Address |
18 RAMBO DR |
| City | SARALAND |
| State | AL |
| Zip Code | 36571-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265861009 | Seton Medical Management Inc. | Preventive Medicine | 18 Rambo Dr, Saraland, AL 36571-2147 | 2013-11-02 |
| 1083043822 | Alabama Providence Healthcare Services | General Practice | 18 Rambo Dr, Saraland, AL 36571-2147 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717053 | Benchmark Physical Therapy of Alabama, LLC | Occupational Therapist | 41 Shell St, Saraland, AL 36571 | 2019-08-28 |
| 1902396682 | Sarah Elizabeth Wright | Physical Therapist | 41 Shell Street, Saraland, AL 36571 | 2018-05-17 |
| 1437532843 | Jkld LLC | Pharmacy | 106a Saraland Loop Rd, Saraland, AL 36571 | 2015-07-02 |
| 1760709893 | Taylor Internal Medicine of Mobile | Durable Medical Equipment & Medical Supplies | 18 C M Rambo Drive, Saraland, AL 36571 | 2010-04-29 |
| 1518103548 | Deborah Bernadette Rice | Counselor | 430 Norton Ave, Saraland, AL 36571 | 2008-12-22 |
| 1205965175 | Industrial Wellness Rehab, Inc | Physical Therapist | 627 Highway 43 South, Suite B, Saraland, AL 36571 | 2007-03-05 |
| 1619027679 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 951 Us 43 South, Saraland, AL 36571 | 2007-01-11 |
| 1447335526 | George H Burroughs | Chiropractor | 8-a Highway 43 N, Saraland, AL 36571 | 2006-10-26 |
| 1518048388 | Kathryn Knight-dopson | Durable Medical Equipment & Medical Supplies | 118b Highway 43 S, Saraland, AL 36571 | 2006-10-18 |
| 1104935915 | William R Bruner II | Dentist | 623 Highway 43 South, Suite A, Saraland, AL 36571 | 2006-08-29 |
| Find all providers in zip 36571 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891088779 | American Family Care, Inc. | General Practice | 1097 Industrial Pkwy, Saraland, AL 36571-3719 | 2011-05-25 |
| 1083043822 | Alabama Providence Healthcare Services | General Practice | 18 Rambo Dr, Saraland, AL 36571-2147 | 2013-11-02 |
| 1043485196 | Northern Mobile Medical Diagnostics | General Practice | 1084 Industrial Pkwy, Suite B, Saraland, AL 36571-3726 | 2008-04-29 |
| 1508084153 | Oscar Baviera Lopez | General Practice | 1084 Industrial Pkwy, Suite B, Saraland, AL 36571-3726 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
| 1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
| 1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
| 1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
| 1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
| 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.