Provider Demographics
NPI:1164710471
Name:THOMPSON, MONICA (PA-C)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:CHRISTOPHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:JOHNS HOPKINS HOSPITAL - PLASTIC SURGERY
Mailing Address - Street 2:601 NORTH CAROLINE STREET
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:443-997-9466
Mailing Address - Fax:410-614-4333
Practice Address - Street 1:JOHNS HOPKINS HOSPITAL - PLASTIC SURGERY
Practice Address - Street 2:601 NORTH CAROLINE STREET
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:443-997-9466
Practice Address - Fax:410-614-4333
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical