Provider Demographics
NPI:1003803487
Name:THOMPSON, TROY W (MD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:W
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SENTARA CIRCLE
Mailing Address - Street 2:SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188
Mailing Address - Country:US
Mailing Address - Phone:757-984-7218
Mailing Address - Fax:
Practice Address - Street 1:100 SENTARA CIRCLE
Practice Address - Street 2:SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188
Practice Address - Country:US
Practice Address - Phone:757-984-7218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010051797Medicaid
VAI11731Medicare UPIN
VA005091M77Medicare ID - Type Unspecified