Healthcare Provider Details

I. General information

NPI: 1619914827
Provider Name (Legal Business Name): WILLIAM L THOMPSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

594 GREAT RD STE 103
NORTH SMITHFIELD RI
02896-6810
US

IV. Provider business mailing address

594 GREAT RD STE 103
NORTH SMITHFIELD RI
02896-6810
US

V. Phone/Fax

Practice location:
  • Phone: 401-768-3700
  • Fax:
Mailing address:
  • Phone: 401-768-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number38617
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD13812
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD13812
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: