Provider Demographics
NPI:1457454704
Name:THOMPSON, AMY B (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:B
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:P O BOX 158
Mailing Address - Street 2:512 W MAIN ST
Mailing Address - City:COLE CAMP
Mailing Address - State:MO
Mailing Address - Zip Code:65325-0158
Mailing Address - Country:US
Mailing Address - Phone:660-668-0851
Mailing Address - Fax:660-668-3041
Practice Address - Street 1:54 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065-3050
Practice Address - Country:US
Practice Address - Phone:573-302-2764
Practice Address - Fax:573-302-2767
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2021-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2010017715207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1457454704Medicaid
MOP00892381OtherRAILROAD MEDICARE
MO44571021OtherBCBS OF KC
MO44571021OtherBCBS OF KC