Provider Demographics
NPI:1538121561
Name:THOMPSON, JAMES S III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:THOMPSON
Suffix:III
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 1:910 CENTURY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-8426
Mailing Address - Country:US
Mailing Address - Phone:717-506-4720
Mailing Address - Fax:717-506-4734
Practice Address - Street 1:910 CENTURY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-8424
Practice Address - Country:US
Practice Address - Phone:717-506-4720
Practice Address - Fax:717-506-4734
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053527L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000589111OtherHIGHMARK BLUE SHIELD
PA50020363OtherBLUE CROSS/CAIC
PA001500192008Medicaid
PA2091786OtherFIRST HEALTH
PA001500192008Medicaid
PAF96423Medicare UPIN