Provider Demographics
NPI:1255832242
Name:THOMPSON, JAIME WINTER (DO)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:WINTER
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:
Other - Last Name:WINTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1428 S QUINCY AVE APT D
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-5834
Mailing Address - Country:US
Mailing Address - Phone:970-846-3307
Mailing Address - Fax:
Practice Address - Street 1:8131 S MEMORIAL DR STE 107
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4348
Practice Address - Country:US
Practice Address - Phone:918-252-5114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-24
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6778207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology