DR. CARSON JOSEPH THOMPSON (NPI# 1780650390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780650390 |
| Entity Type | Individual |
| Full Name | DR. CARSON JOSEPH THOMPSON |
| Credential | MD |
| Practice Address |
1000 E Mountain Dr Wilkes Barre PA 18711-0027 |
| Practice Telephone | 5708086026 |
| Practice Fax Number | 5702716578 |
| Mailing Telephone | 5708086026 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 238733-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | MD019602E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008602180004 | 05 | |
| PA | RR MEDICARE PIN | P00260894 | 01 |
| NY | 02672833 | 05 | |
| PA | RR MEDICARE GROUP | CC9269 | 01 |
| PA | PA MEDICARE GROUP | GU039843 | 01 |
| Street Address |
1000 E MOUNTAIN DR |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077185 | Martha A. Danon | Radiology | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2005-07-18 |
| 1336759984 | Deanne Angela Walters | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-08-07 |
| 1982213062 | Erin Leigh Dougherty | Physician Assistant | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-24 |
| 1013525179 | Chelsea Lynn Lopatka | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0001 | 2020-07-15 |
| 1467060483 | Preston Benjamin Setzer | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-15 |
| 1295382554 | Carol Teets | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-21 |
| 1417501941 | Krushna Shah | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-01 |
| 1790269660 | Samantha Marie Weiksner | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1356825244 | Michelle Jeanne Butcher | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1467932863 | Arthur Jankowski | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558656934 | Gregory M Weiner | Neurological Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711 | 2011-06-14 |
| 1992021877 | David Ferrone | Neurological Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2010-04-16 |
| 1700028180 | Mauricio Campos-benitez | Neurological Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2009-03-31 |
| 1316190168 | Michel Lacroix | Neurological Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2008-10-24 |
| 1376723767 | Neurosurgical Specialties of Nepa | Neurological Surgery | 150 Mundy Street, Mac 4, Wilkes Barre, PA 18702 | 2007-11-14 |
| 1245443068 | Kenneth C Liu | Neurological Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2007-05-08 |
| 1619078656 | Itay Melamed | Neurological Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-09-25 |
| 1245295344 | John H. Presper | Neurological Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-04-20 |
| 1255322947 | Victor Benjamin Nakkache | Neurological Surgery | 166 Hanover St, Ste 202, Wilkes Barre, PA 18702-3549 | 2005-11-02 |
| 1649262858 | Joseph F Emrich | Neurological Surgery | 1000 E Mountain Dr, Mc 37-31, Wilkes Barre, PA 18711-0027 | 2005-08-16 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.