Provider Demographics
NPI:1326298217
Name:INTERNAL MED INC.
Entity Type:Organization
Organization Name:INTERNAL MED INC.
Other - Org Name:ROBERT THOMPSON, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-772-6535
Mailing Address - Street 1:40EG LA GRANGE
Mailing Address - Street 2:FREDERIKSTED
Mailing Address - City:ST.CROIX
Mailing Address - State:VI
Mailing Address - Zip Code:00840
Mailing Address - Country:US
Mailing Address - Phone:340-772-3665
Mailing Address - Fax:
Practice Address - Street 1:40EG LA GRANGE
Practice Address - Street 2:FREDERIKSTED
Practice Address - City:ST.CROIX
Practice Address - State:VI
Practice Address - Zip Code:00840
Practice Address - Country:US
Practice Address - Phone:340-772-3665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI546207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI0020895Medicare PIN
F15695Medicare UPIN