MATTHEW GREGORY THOMPSON PA-C NPI 1780817528

NPI Information

NPI: 1780817528
Provider Name: MATTHEW GREGORY THOMPSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

Matthew Gregory Thompson, PA-C is a medical physician assistant in Tacoma, WA with 15 years of experience. Matthew Gregory Thompson, PA-C NPI is 1780817528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1304 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402-911
Phone: (253) 761-4200
Fax: (253) 383-3553

The NPI 1780817528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2009 and was last updated on 1/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA60113828	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0255097	OTHER	WASHINGTON	LNI-TRA PIERCE COUNTY
2	0392051	OTHER	WASHINGTON	LNI-DIAGNOSTIC IMAGING NW
3	2003472	MEDICAID	WASHINGTON
4	0255098	OTHER	WASHINGTON	LNI-UNION AVE OPEN MRI
5	0350356	OTHER	WASHINGTON	LNI-TRA KING COUNTY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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