RYAN BRADFORD THOMPSON (NPI# 1043544125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043544125 |
| Entity Type | Individual |
| Full Name | RYAN BRADFORD THOMPSON |
| Credential | PA |
| Practice Address |
7733 East Jefferson Detroit MI 48213 |
| Mailing Address |
17197 N. Laurel Park Drive Suite 161 Livonia MI 48152 |
| Practice Telephone | 3134994900 |
| Mailing Telephone | 7343388300 |
| Mailing Fax Number | 7343388301 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005559 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518525146 | Ryan Davidson Thompson | Physical Therapist | 12680 Perry Hwy, Wexford, PA 15090-8886 | 2019-05-29 |
| 1891256004 | Ryan Thompson | Internal Medicine | 400 W Fort St # 111r, Boise, ID 83702-4531 | 2019-03-29 |
| 1508126285 | Ryan P Thompson | Counselor | 321 N Mall Dr Ste F202, Saint George, UT 84790-7351 | 2012-05-29 |
| 1023315405 | Ryan P Thompson | Physical Therapist | 6929 N Willow Ave Ste 105, Fresno, CA 93710-5956 | 2011-02-18 |
| 1326283912 | Ryan Jackie Thompson | Dentist | 1550 S Custer Rd, Mckinney, TX 75070-6524 | 2008-12-10 |
| 1104898386 | Ryan Stewart Thompson | Family Medicine | 150 Big Trees Rd Ste E, Murphys, CA 95247-9101 | 2006-02-02 |
| 1194352807 | Ryan James Thompson | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-03-24 |
| 1235690827 | Ryan Thompson | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2019-03-27 |
| 1225508518 | Ryan Thompson | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2018-11-29 |
| 1225548266 | Ryan B Thompson | Counselor | 12505 Se Raymond St, Portland, OR 97236-3931 | 2017-10-04 |
| Street Address |
7733 EAST JEFFERSON |
| City | DETROIT |
| State | MI |
| Zip Code | 48213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248129 | W Anthony Greer | Ophthalmology | 7733 East Jefferson, Detroit, MI 48214 | 2006-08-04 |
| 1689744930 | Michelle Lynne Schimeck | Counselor | 7733 East Jefferson, Detroit, MI 48214 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831340355 | Antonia L Navarro | Physician Assistant | University Physician Group Oncology, 4100 John R, Detroit, MI 48201-2013 | 2008-10-02 |
| 1104974443 | Amy B Oatfield | Physician Assistant | Henry Ford Hospital Trauma and Critical Care Cfp-1, 2799 West Grand Blvd, Detroit, MI 48202 | 2007-01-05 |
| 1295750677 | Ingrid Dominic Mitchell | Physician Assistant | 18254 Livernois Ave Ste 1, Detroit, MI 48221-4214 | 2006-07-13 |
| 1952397291 | Kelly Michelle Brown | Physician Assistant | 22151 Moross Rd Ste 320, Maternal Fetal Medicine St John Hospital & Medical Cen, Detroit, MI 48236-2196 | 2005-09-22 |
| 1467067975 | Jerrica Clemens | Physician Assistant | 4100 Woodward Ave, Detroit, MI 48201-2173 | 2020-09-11 |
| 1679195176 | Shane Michael Dignan | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2020-05-07 |
| 1174154843 | Weston Alexander Davis | Physician Assistant | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-01-30 |
| 1689225443 | Alaa Eddin Tahboub | Physician Assistant | 4771 Michigan Ave, Detroit, MI 48210-9718 | 2019-09-24 |
| 1609338367 | Aanchal Bhojwani | Physician Assistant | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-04-02 |
| 1952883068 | Jeremy Lynn Herzberg | Physician Assistant | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2018-09-05 |
| Find all providers in DETROIT | ||||
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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.