Harry Reed Thompson Jr. (NPI# 1083753214, PAC ID# 4981893237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1083753214 |
| PAC ID by PECOS | 4981893237 |
| Professional Enrollment ID | I20110118000974 |
| Full Name | Harry Reed Thompson Jr. |
| Address |
413 E University Ave Champaign IL 61820-3826 |
| Phone Number | 2173599601 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140113 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| Address | Phone | Organization |
|---|---|---|
| 413 E University Ave, Champaign, IL 61820-3826 | 2173599601 |
| Street Address |
413 E UNIVERSITY AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61820-3826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Kohler | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Jiyai Tao | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Marisol Chirinos Tito | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Carrie Elizabeth Keenan | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Kristen Erickson | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sonja E Hansen | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Melonie M Darnall | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Shellane Tangen | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Constance S Thomas | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sandra Foltz | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Find all physicians in zip 61820 | |||
| City | CHAMPAIGN |
| Zip Code | 61820 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CHAMPAIGN + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.