STEPHEN W THOMPSON (NPI# 1891703633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891703633 |
| Entity Type | Individual |
| Full Name | STEPHEN W THOMPSON |
| Credential | P.A. |
| Practice Address |
1003 Chafee Ave Augusta GA 30904-5867 |
| Mailing Address |
1120 15th St Ste Bi1056 Augusta GA 30912-0004 |
| Practice Telephone | 7067212426 |
| Mailing Telephone | 7067213813 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
005595 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10000117A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000108476 | 01 | |
| GA | 156406219A | 05 | |
| KY | 9500118600 | 05 | |
| SC | 0834PA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726530 | Stephen Thompson | Specialist/Technologist | 2816 Jim St, Tupelo, MS 38801-6763 | 2019-11-30 |
| 1255977807 | Stephen Dean Thompson | Technician | 2337 Watts Dr, Lancaster, SC 29720-3953 | 2019-11-19 |
| 1134412497 | Stephen Ruhl Thompson | Social Worker | 601 Gutscher Dr, Fort Collins, CO 80524-1671 | 2011-05-19 |
| 1093034597 | Stephen Duane Thompson Jr. | Counselor | 6322 Pumpernickel Ln, Monroe, NC 28110-9699 | 2010-05-24 |
| 1336285360 | Stephen Richard Thompson | Physical Therapist | 1355 Helicopter Rd, Virginia Beach, VA 23459-8937 | 2007-01-29 |
| 1003960444 | Stephen W Thompson | Counselor | 1122 Commercial Dr, Hammond, LA 70403 | 2007-01-23 |
| 1265585814 | Stephen L Thompson | Physical Therapist | 1421 34th Ave Ste 206, Seattle, WA 98122-3333 | 2007-01-18 |
| 1730237579 | Stephen P Thompson | Optometrist | 2200 Coolidge Rd, #15, East Lansing, MI 48823-1363 | 2007-01-08 |
| 1447354956 | Stephen Craig Thompson | Internal Medicine | 65 Hospital Dr Ste 102, Petersburg, WV 26847-9549 | 2006-09-13 |
| 1659381499 | Stephen C Thompson | Physical Therapist | 2310 W I 20, Ste 204, Arlington, TX 76017-1678 | 2006-08-08 |
| Street Address |
1003 CHAFEE AVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841659406 | Brittany Wheeler | Pharmacist | 1003 Chafee Ave, Augusta, GA 30904-5867 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1053498519 | Charles P Bean | Physician Assistant | 818 Saint Sebastian Way Ste 403, Augusta, GA 30901-2654 | 2006-11-01 |
| 1194363119 | Kinya Warren | Physician Assistant | 950 15th St, Augusta, GA 30901-2608 | 2019-12-20 |
| 1801307384 | Molly Nadeau | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2017-10-24 |
| 1477090900 | Renee Fritz | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2017-01-23 |
| 1750833729 | Kathleen Devan Early | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2016-10-26 |
| 1427505940 | Kit Taylor | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-09-01 |
| 1912389347 | Eric Daniels | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2015-06-22 |
| 1194159111 | Marc Leduc | Physician Assistant | 1120 15th St, Suite Bp 4134, Augusta, GA 30912-0004 | 2013-08-27 |
| 1730420183 | Ashley Michelle Shelton | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2013-03-11 |
| Find all providers in AUGUSTA | ||||
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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.