DR. SUSAN N THOMPSON M.D. NPI 1104824804

NPI Information

NPI: 1104824804
Provider Name: DR. SUSAN N THOMPSON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
63 STATE RD
GREAT BARRINGTON, MA
ZIP 01230
Phone: (413) 644-9933
Get Directions

DR. Susan N Thompson, M.D. is a family medicine in Great Barrington, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Susan N Thompson, M.D. NPI is 1104824804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

63 STATE RD
GREAT BARRINGTON, MA
ZIP 01230-223
Phone: (413) 644-9933
Fax: (413) 644-9433

The NPI 1104824804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 11/26/2012.

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	207Q00000X	Family Medicine		54979	MASSACHUSETTS	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	1104824804	OTHER		FALLON
2	11004271A	MEDICAID	MASSACHUSETTS
3	1104824804	OTHER	MASSACHUSETTS	BC/BS MA - BLUE CARD PPO
4	1104824804	OTHER		TUFTS
5	1104824804	MEDICARE PIN
6	1104824804	OTHER	MASSACHUSETTS	BOSTON MEDICAL HEALTH PLAN
7	1104824804	OTHER		CDPHP
8	1104824804	OTHER		HARVARD PILGRM HEALTH CARE
9	1104824804	OTHER		RAILROAD MEDICARE
10	1104824804	OTHER		CIGNA
11	1104824804	OTHER		MVP
12	1104824804	OTHER		HEALTH NEW ENGLAND
13	1104824804	OTHER		UNITED HEALTH CARE PLAN SPECIFIC
14	1104824804	OTHER		AETNA

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: 4/28/2024

NPI Synchronization or Removal

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