MRS. MARY H EGGLESTON THOMPSON (NPI# 1427131721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427131721 |
| Entity Type | Individual |
| Full Name | MRS. MARY H EGGLESTON THOMPSON |
| Credential | PA |
| Practice Address |
3320 N Grand Mill Ln Coeur D Alene ID 83814-5689 |
| Practice Telephone | 2087659100 |
| Practice Fax Number | 2087659103 |
| Mailing Telephone | 2087659100 |
| Mailing Fax Number | 2087659103 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA564 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGENCE BLUESHIELD | 000010152059 | 01 | |
| ID | 807286200 | 05 | |
| ID | BLUE CROSS OF IDAHO | PAZB8 | 01 |
| Street Address |
3320 N GRAND MILL LN |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-5689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649353947 | Jeffrey J Larson | Neurological Surgery | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-10-23 |
| 1154730968 | Sean Michael Hunter | Specialist/Technologist, Other | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814 | 2014-08-06 |
| 1720493950 | Coeur D Alene | Specialist/Technologist, Other | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2014-06-26 |
| 1295018968 | Holly Kay Moore | Nurse Practitioner | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2011-09-20 |
| 1376839191 | Kristi Marie Flicker | Dietitian, Registered | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2011-06-20 |
| 1518141563 | Patricia A Vieth | Physician Assistant | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2007-12-27 |
| 1588714489 | Coeur D Alene Spine and Brain Pllc | Specialist | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487168118 | Kami Bowcut | Physician Assistant | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2017-11-16 |
| 1144672361 | Alexandra Marie Hyndman | Physician Assistant | 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4960 | 2016-07-12 |
| 1851790901 | Jeff Mitchell | Physician Assistant | 700 W Ironwood Dr, 341, Coeur D Alene, ID 83814-2656 | 2014-08-14 |
| 1629249370 | Kootenai Medical Center | Physician Assistant | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2008-03-20 |
| 1326237413 | Jennifer Lyn Wegler | Physician Assistant | 1110 W Park Pl, Ste 202, Coeur D Alene, ID 83814-2781 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218089 | Michael Keegan Huntsman | Physician Assistant | 730 Aspen Ave, Shelley, ID 83274-1400 | 2020-06-03 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1831647197 | Nicholas Hensley | Physician Assistant | 3155 Channing Way Ste B, Idaho Falls, ID 83404-7534 | 2016-09-15 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1982937066 | Don H Curtis | Physician Assistant | 348 W Bloomington Dr, Meridian, ID 83642-6942 | 2009-09-08 |
| 1801073655 | Tracy D. Mickelsen | Physician Assistant | 3015 E Magic View Dr, Meridian, ID 83642-3743 | 2008-01-23 |
| 1356437172 | Clare Elizabeth York | Physician Assistant | 805 Main St., Salmon, ID 83467 | 2006-10-05 |
| 1891707618 | Brian Keith Lachapelle | Physician Assistant | 6140 W Curtisan, Ste 102, Boise, ID 83704 | 2006-08-12 |
| 1992743215 | Bill Stahlberg | Physician Assistant | 211 Forest St, Mccall, ID 83638-5256 | 2006-06-02 |
| 1780641530 | Alicia R Borst | Physician Assistant | 3960 W. Wainwright, Boise, ID 83713 | 2006-04-26 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on MRS. MARY H EGGLESTON 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.