Provider Demographics
NPI: | 1508057159 |
---|---|
Name: | TOMPKINS, JAMES PAUL (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | JAMES |
Middle Name: | PAUL |
Last Name: | TOMPKINS |
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: | 557 MEANS RD |
Mailing Address - Street 2: | |
Mailing Address - City: | BYRDSTOWN |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 38549-4601 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 601 W MAIN ST |
Practice Address - Street 2: | |
Practice Address - City: | BYRDSTOWN |
Practice Address - State: | TN |
Practice Address - Zip Code: | 38549-2400 |
Practice Address - Country: | US |
Practice Address - Phone: | 931-864-3232 |
Practice Address - Fax: | 931-864-3230 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2007-08-08 |
Last Update Date: | 2020-06-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TN | 43198 | 207P00000X, 208M00000X, 207Q00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TN | 3001434 | Medicaid | |
TN | 6064424 | Other | BCBS |
KY | 7100032150 | Medicaid |