Physician Compare National (NPI:1104898386)

HEALTHCARE PROVIDER: RYAN STEWART THOMPSON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104898386
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587703178
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091119000542
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMPSON
	Individual professional last name
Provider First Name	RYAN
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	150 BIG TREES RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	MURPHYS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	952479101
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	051332
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARK TWAIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050335
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVENTIST HEALTH SONORA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M