MEDICARE: DR. JON C THOMPSON MD

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	207Q00000X	Family Medicine Physician	11017427A	IN
2	208M00000X	Hospitalist Physician	49301	KY
3	207P00000X	Emergency Medicine Physician	01074735A	IN
4	207P00000X	Emergency Medicine Physician	336.118272	IL
5	207R00000X	Internal Medicine Physician	49301	KY

General Provider Information

NPI Number	:	1336589308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON C THOMPSON MD

Provider Business Mailing Address
First Line	:	232 HARMONY RIDGE DR
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9688
Country	:	US
Telephone Number	:	270-304-6555
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 HARMONY RIDGE DR
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9688
Country	:	US
Telephone Number	:	270-304-6555
Fax Number	:

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

Provider Enumeration Date	:	07/05/2013
Last Update Date	:	05/05/2026

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