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NPI Code Detail

MEDICARE: JANE A. THOMPSON M.D.

MEDICARE:   JANE A. 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
1207R00000XInternal Medicine Physician44455MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18110214688OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1974952OTHERNETWORK HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34389336OTHERMAAETNA NON HMO
4110038375AOTHERMAMASS HEALTH
504-01191OTHEREVERCARE
665019OTHERMAHARVARD PILGRIM HEALTHCAR
7715642OTHERMATUFTS HEALTH PLAN
882940OTHERHEALTHSOURCE
9B97344OTHERNVANTHEM BLUE CROSS
1004-01191OTHERMAEVERCARE
111194720904OTHERMAAETNA HMO
12D02060OTHERMABLUE CROSS BLUE SHIELD
131194720904OTHERMAFALLON COMMUNITY HEALTH PLAN
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
153754283OTHERCIGNA HEALTHCARE
160016304OTHERNEIGHBORHOOD HEALTH PLAN
17D02060OTHERMAHMO BLUE

General Provider Information

NPI Number : 1194720904
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE A. THOMPSON M.D.
Provider Business Mailing Address
First Line : 500 MERRIMACK ST
Second Line : RIVERWALK
City : LAWRENCE
State : MA
Zip : 01843-1756
Country : US
Telephone Number : 978-557-8700
Fax Number : 978-557-8856
Provider Business Practice Location Address
First Line : 500 MERRIMACK ST
Second Line : RIVERWALK
City : LAWRENCE
State : MA
Zip : 01843-1756
Country : US
Telephone Number : 978-557-8700
Fax Number : 978-557-8856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 11/20/2012

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Directions to “ JANE A. THOMPSON M.D.” Practice Location

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