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NPI Code Detail

MEDICARE: ALEXANDRA ELIZABETH THOMPSON PA-C

MEDICARE: ALEXANDRA ELIZABETH THOMPSON PA-C
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
1363AS0400XSurgical Physician AssistantMA065041PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116061850OTHERCAQH

General Provider Information

NPI Number : 1255118204
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA ELIZABETH THOMPSON PA-C
Provider Business Mailing Address
First Line : 320 E NORTH AVE FL 3
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-3901
Fax Number :
Provider Business Practice Location Address
First Line : 320 E NORTH AVE FL 3
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-3901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2023
Last Update Date : 01/15/2026

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Directions to “ ALEXANDRA ELIZABETH THOMPSON PA-C” Practice Location

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