DERIK THOMPSON CSA NPI 1811126923

NPI Information

NPI: 1811126923
Provider Name: DERIK THOMPSON, CSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2085 LYNNHAVEN PKWY STE 106-308
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 573-3479
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Derik Thompson, CSA is a surgical physician assistant in Virginia Beach, VA. Derik Thompson, CSA NPI is 1811126923. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2085 LYNNHAVEN PKWY STE 106-308
VIRGINIA BEACH, VA
ZIP 23456-497
Phone: (757) 573-3479

The enumeration date for this NPI number is 7/9/2009 and was last updated on 12/19/2019.

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	363AS0400X	Physician Assistant	Surgical	0136000166	VIRGINIA	Yes

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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