DERIK THOMPSON (NPI# 1811126923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811126923 |
| Entity Type | Individual |
| Full Name | DERIK THOMPSON |
| Credential | CSA |
| Practice Address |
2085 Lynnhaven Pkwy Ste 106-308 Virginia Beach VA 23456-1497 |
| Practice Telephone | 7575733479 |
| Mailing Telephone | 7575733479 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0136000166 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2085 LYNNHAVEN PKWY STE 106-308 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626605 | Addtech Services LLC | Surgery | 2085 Lynnhaven Pkwy Ste 106-308, Virginia Beach, VA 23456-1497 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1912195314 | David John Pullen | Physician Assistant | 5557 Princess Anne Rd, Virginia Beach, VA 23462-3344 | 2007-10-10 |
| 1275696569 | Physician Assistant Services Inc | Physician Assistant | 2132 Creeks Edge Dr, Virginia Beach, VA 23451-6804 | 2006-12-18 |
| 1356456677 | Deborah D Redmond | Physician Assistant | 2233 Elder Rd, Virginia Beach, VA 23451 | 2006-08-19 |
| 1861969164 | Coastal Medsurg, Inc. | Physician Assistant | 1700 Will O Wisp Dr, Virginia Beach, VA 23454-3164 | 2018-10-25 |
| 1790166692 | Melody Lynne Osborne | Physician Assistant | 2075 Glenn Mitchell Dr, Suite 512, Virginia Beach, VA 23456-0179 | 2015-06-16 |
| 1750612701 | Nicolle Lin Stopa | Physician Assistant | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2010-01-14 |
| 1558319061 | John Philip Conza | Physician Assistant | 1550 Tomcat Blvd, Branch Health Clinic Oceana, Virginia Beach, VA 23464 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038042 | Emma Alexandra Rouse | Physician Assistant | 2712 Hatmark St, Vienna, VA 22181-6054 | 2020-03-20 |
| 1861059461 | Daniel P Sherman | Physician Assistant | 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 | 2019-05-20 |
| 1184289753 | Vicenta Hanh-phuoc Tran | Physician Assistant | 7611 Trammell Rd, Annandale, VA 22003-1442 | 2019-05-08 |
| 1649833021 | Karlie Diruzza | Physician Assistant | 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 | 2019-04-21 |
| 1164983599 | Bradley Pretzer | Physician Assistant | 5115 Cliffhaven Dr, Annandale, VA 22003-4348 | 2019-03-28 |
| 1346757416 | Hinda Yasmin Mezaache | Physician Assistant | 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 | 2018-01-10 |
| 1265974851 | Gerard Surgical Services, LLC | Physician Assistant | 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 | 2016-11-14 |
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on DERIK 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.