DR. KENNETH GEORGE THOMPSON (NPI# 1194772517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194772517 |
| Entity Type | Individual |
| Full Name | DR. KENNETH GEORGE THOMPSON |
| Credential | MD |
| Practice Address |
15709 Shadow Mtn Dr Edmond OK 73013 |
| Practice Telephone | 4058444072 |
| Practice Fax Number | 4058443021 |
| Mailing Telephone | 4058444072 |
| Mailing Fax Number | 4058443021 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 9621 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 10015160A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376944322 | Kenneth Thompson | Clinic/Center | 708 Cortwright St, Pontiac, MI 48340-2302 | 2014-09-09 |
| 1306177357 | Kenneth Wilson Thompson Jr. | Dentist | 107 Brook Ave., South Hill, VA 23970 | 2010-01-14 |
| 1942373204 | Kenneth Joel Thompson | Nurse Anesthetist, Certified Registered | 336 Deerfield Road, Boone, NC 28607 | 2006-11-16 |
| 1689788598 | Kenneth D Thompson | Dentist | 4213 Dale Rd., Suite 5, Modesto, CA 95356 | 2006-08-18 |
| 1255365151 | Kenneth W Thompson | Internal Medicine | 17 Camp Road, Richard J Caron Foundation, Wernersville, PA 19565 | 2006-07-10 |
| 1235117789 | Kenneth L Thompson | Pharmacist | 2 N Main St, Kilmarnock, VA 22482-8501 | 2006-01-05 |
| 1114346905 | Kenneth Robert Thompson IIi | Emergency Medicine | 234 Goodman St, Center for Emergency Care, Cincinnati, OH 45219-2364 | 2014-04-09 |
| 1609112192 | Kenneth T Thompson | Physician Assistant | 2780 Tapo Canyon Rd, Suite A3, Simi Valley, CA 93063-6840 | 2013-01-02 |
| 1134450976 | Kenneth Lowell Thompson | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2010-01-19 |
| 1679715338 | Kenneth A Thompson | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2009-03-27 |
| Street Address |
15709 SHADOW MTN DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134649536 | Rupert R Thomas Md PC | Obstetrics & Gynecology | 1800 Renaissance Blvd Ste 210, Edmond, OK 73013-3023 | 2017-06-27 |
| 1316097108 | Daniel L Tallerico Md Inc | Obstetrics & Gynecology | 3863 S Boulevard St, Suite 100, Edmond, OK 73013-5519 | 2007-01-12 |
| 1750362836 | Michael Lee Glass | Obstetrics & Gynecology | 3815 S Boulevard St, Edmond, OK 73013-5479 | 2005-11-07 |
| 1336659101 | Rupert R Thomas Md PC | Obstetrics & Gynecology | 1800 Renaissance Blvd Ste 210, Edmond, OK 73013-3023 | 2017-10-06 |
| 1528327442 | Katherine Luthey Shepherd | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2012-05-11 |
| 1982999637 | Courtney Seacat | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2011-06-10 |
| 1164743225 | Caroline Flint | Obstetrics & Gynecology | 4833 Integris Pkwy Ste 200, Edmond, OK 73034-8864 | 2010-06-11 |
| 1528392727 | Cameron Michelle Halsell | Obstetrics & Gynecology | 105 S Bryant Ave, #304, Edmond, OK 73034-6399 | 2009-09-22 |
| 1841453446 | Robb Alan Schiermeyer | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2008-07-03 |
| 1225063647 | Christopher Alan Lane | Obstetrics & Gynecology | 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 | 2006-07-12 |
| Find all providers in EDMOND | ||||
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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.