DR. KENNETH W THOMPSON (NPI# 1255365151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255365151 |
| Entity Type | Individual |
| Full Name | DR. KENNETH W THOMPSON |
| Other Name | KENNETH WAYNE THOMPSON |
| Credential | MD |
| Practice Address |
17 Camp Road Richard J Caron Foundation Wernersville PA 19565 |
| Mailing Address |
Po Box 150 Richard J Caron Foundation Wernersville PA 19565-0150 |
| Practice Telephone | 6107436223 |
| Practice Fax Number | 6106780286 |
| Mailing Telephone | 6107436223 |
| Mailing Fax Number | 6106780286 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD020930E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
ME36979 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258242200 | 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 |
| 1194772517 | Kenneth George Thompson | Obstetrics & Gynecology | 15709 Shadow Mtn Dr, Edmond, OK 73013 | 2006-05-30 |
| 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 |
17 CAMP ROAD RICHARD J CARON FOUNDATION |
| City | WERNERSVILLE |
| State | PA |
| Zip Code | 19565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453386 | Alysson Dorissa Flynn | Physical Therapist | 1 Reading Drvie, Wernersville, PA 19565 | 2019-05-21 |
| 1407230568 | Marcia Ellen Rudnick | Speech-Language Pathologist | One Heidelberg Drive, Wernersville, PA 19565 | 2015-07-17 |
| 1093085334 | Usha Gopalani | Psychiatry & Neurology | Rte 422 & Sportsman Road, Wernersville, PA 19565 | 2012-01-04 |
| 1871722215 | Moira Molloy | Nurse Practitioner | N. Galen Hall Rd, Wernersville, PA 19565 | 2009-07-07 |
| 1740492727 | Dr Raylene A Devine | Pediatrics | 6 West Penn Ave, Wernersville, PA 19565 | 2007-05-04 |
| 1356469860 | Le Ann Guerriere Rynier | Clinical Nurse Specialist | Route 422 and Sportsman Road, Wernersville, PA 19565 | 2007-03-26 |
| 1497743470 | Joseph Garbely | Psychiatry & Neurology | 243 N. Galen Hall Road, Wernersville, PA 19565 | 2005-10-12 |
| 1578561049 | Phoebe Berks Health Care Center Inc | Clinic/Center | 1 Heidelberg Dr, Wernersville, PA 19565 | 2005-07-08 |
| 1326077520 | Sasikala Ravi | Psychiatry & Neurology | 160 Main Street, Wernersville State Hospital, Post Box # 300, Wernersville, PA 19565-0300 | 2006-07-01 |
| 1902832983 | Maria L. Lubak | Dentist | Route 422, Sportsman Road, Building 37, Wernersville, PA 19565-0300 | 2006-06-23 |
| Find all providers in zip 19565 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957613 | Global Health and Recovery Services LLC | Internal Medicine | 3229 Kensington Ave, Philadelphia, PA 19134-1934 | 2019-11-19 |
| 1952946253 | Kaitlyn Renee Mackey | Internal Medicine | 33 Rollins Ln, Willow Street, PA 17584-8606 | 2019-11-10 |
| 1184177263 | Cleanslate Medical Group of Pennsylvania LLC | Internal Medicine | 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA 18702-5240 | 2016-07-26 |
| 1831559814 | Roxanne Rick | Internal Medicine | 2501 Mckeever St, Monongahela, PA 15063-4549 | 2016-03-03 |
| 1770960882 | Medically Assisted Recovery Services Inc | Internal Medicine | 10802 Bustleton Ave, Philadelphia, PA 19116-3302 | 2015-04-28 |
| 1013301985 | Karen Sees | Internal Medicine | 1266 Lindholm Road, Kane, PA 16735 | 2015-03-27 |
| 1144473208 | Christopher Jackson Davis | Internal Medicine | 320 Loucks Rd, Suite 103, York, PA 17404-1752 | 2008-11-02 |
| 1598937245 | James Craig Berman | Internal Medicine | 261 Standish Rd, Merion Station, PA 19066-1133 | 2008-04-01 |
| 1407027725 | Trusandra Elaine Taylor | Internal Medicine | 1745 N 4th St, Philadelphia, PA 19122-3008 | 2008-03-14 |
| 1619081726 | Bernard Amiel Harris | Internal Medicine | 2205 Bridge St, Philadelphia, PA 19137-1313 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | WERNERSVILLE |
| Zip Code | 19565 |
Please comment or provide details below to improve the information on DR. KENNETH W THOMPSON.
| 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.