MEDICARE: DR. SCOTT ANDERSON 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	207X00000X	Orthopaedic Surgery Physician	253249	MA
2	207X00000X	Orthopaedic Surgery Physician	ME124715	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	II388Y	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0Z3NH	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386803674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ANDERSON THOMPSON MD

Provider Business Mailing Address
First Line	:	1285 CREEKSIDE BLVD E UNIT 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-0595
Country	:	US
Telephone Number	:	239-624-1700
Fax Number	:	239-624-0311

Provider Business Practice Location Address
First Line	:	1285 CREEKSIDE BLVD E UNIT 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-0595
Country	:	US
Telephone Number	:	239-624-1700
Fax Number	:	239-624-0311

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

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	07/21/2022

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Directions to “ DR. SCOTT ANDERSON THOMPSON MD” Practice Location

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