MEDICARE: DOUGLAS C THOMPSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35076981	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215931704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS C THOMPSON M.D.

Provider Business Mailing Address
First Line	:	655 AFRICA RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-9808
Country	:	US
Telephone Number	:	614-326-2672
Fax Number	:

Provider Business Practice Location Address
First Line	:	4885 OLENTANGY RIVER RD STE 2-50
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1993
Country	:	US
Telephone Number	:	614-451-1551
Fax Number	:	614-451-2326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	11/07/2022

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Directions to “ DOUGLAS C THOMPSON M.D.” Practice Location

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