KEVIN H THOMPSON (NPI# 1164587119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164587119 |
| Entity Type | Individual |
| Full Name | KEVIN H THOMPSON |
| Credential | DO |
| Practice Address |
610 Hawthorne Ave Se Ste 110 Salem OR 97301 |
| Mailing Address |
Po Box 886 Salem OR 97308-0886 |
| Practice Telephone | 5038144440 |
| Practice Fax Number | 5038144444 |
| Mailing Telephone | 5035617160 |
| Mailing Fax Number | 5035617180 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DO151094 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
DO151094 | OR | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
DO151094 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500622719 | 05 | |
| OR | RAILROAD MEDICARE | P00890306 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 885 Mission St Se, Salem, OR 973026222 | 5035855585 | 5035877823 |
| 665 Winter St Se Ste B0350, Salem, OR 973013934 | 5038144440 | 5038144444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544895 | Kevin Thompson | Counselor | 207 W Lockhaven Dr Apt E, Goldsboro, NC 27534-1685 | 2018-10-16 |
| 1942627476 | Kevin Thompson | Family Medicine | 5530-1 Florida Mining Blvd. S, Jacksonville, FL 32257 | 2014-03-21 |
| 1548500879 | Kevin D Thompson | Speech-Language Pathologist | 1941 Silverpine Ct, Toledo, OH 43615-9161 | 2013-02-23 |
| 1902123987 | Kevin E Thompson | Counselor | 8261 Old Tavern Rd, Roanoke, VA 24019-6806 | 2010-04-29 |
| 1730350141 | Kevin Eugene Thompson | Technician/Technologist | 270 Lafayette Rd Unit 13, Seabrook, NH 03874-4543 | 2008-03-13 |
| 1396954749 | Kevin Thompson | Orthopaedic Surgery | 305 Paul Bryant Drive, Tuscaloosa, AL 35401-2055 | 2007-05-22 |
| 1417015413 | Kevin Lee Thompson | Counselor | 6302 13th Street, Lucerne, CA 95458-8106 | 2006-12-04 |
| 1356902241 | Kevin Thompson | Internal Medicine | 736 Cambridge St, Boston, MA 02135-2907 | 2019-06-22 |
| 1043772999 | Kevin Thompson | Student in an Organized Health Care Education/Training Program | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2019-04-01 |
| 1154881134 | Kevin Michael Thompson | Pharmacist | 1911 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2019-03-25 |
| Street Address |
610 HAWTHORNE AVE SE STE 110 |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619949401 | Deborah A Hughes | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-02-06 |
| 1447898226 | Katelyn Williams | Registered Nurse | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2019-12-12 |
| 1255800850 | Peter Woodring | Nurse Practitioner | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-11-13 |
| 1831681618 | Ryan Hermansen | Physician Assistant | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-06-06 |
| 1902138969 | Oregon Heart Center PC | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2010-02-02 |
| 1861695165 | Hrishikesh S Iyengar | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2007-06-06 |
| 1235225624 | Matthew C Fedor | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-10-05 |
| 1679685101 | Sandeep Ajoy Saha | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-08-31 |
| 1417977166 | Kamran Ghalili | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-07-19 |
| 1962434498 | Barath Nmi Krishnamurthy | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992902555 | Sohah N Iqbal | Internal Medicine | 81 Highland Ave, Salem, MA 01970-2714 | 2007-06-28 |
| 1861695165 | Hrishikesh S Iyengar | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425493 | Cardiac Cin of Oregon LLC | Internal Medicine | 1867 Williams Hwy Ste 289, Grants Pass, OR 97527-5854 | 2018-01-31 |
| 1477994101 | Sena Kilic | Internal Medicine | 3181 Sw Sam Jackson Park Rd Fl Uhn622, Portland, OR 97239-3011 | 2013-07-10 |
| 1255455929 | Cameron A. Ramsay | Internal Medicine | 19250 Sw 65th Ave Ste 265, Tualatin, OR 97062-7747 | 2007-03-19 |
| 1114081700 | George Kubac | Internal Medicine | 2614 Clover St, Klamath Falls, OR 97601-1132 | 2006-12-20 |
| 1215978671 | Roger J. Dreiling | Internal Medicine | 1698 E Mcandrews Rd Ste 300, Medford, OR 97504-5590 | 2006-06-09 |
| 1437111507 | Northwest Cardiologists, P.C. | Internal Medicine | 333 Se 7th Ave, Suite 5200, Hillsboro, OR 97123-4157 | 2006-04-04 |
| 1114923760 | Vincent P Reyes | Internal Medicine | 349 Se 7th Ave, Hillsboro, OR 97123-4112 | 2005-06-27 |
| 1588126650 | Cor Care of Or, LLC | Internal Medicine | 1867 Williams Hwy Ste 289, Grants Pass, OR 97527-5854 | 2019-04-05 |
| 1467719641 | Ross Vimr | Internal Medicine | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-04-12 |
| 1932499373 | Deepika Narasimha | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2011-04-18 |
| 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.