MEDICARE: DR. RONALD JAMES THOMPSON MD 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	207V00000X	Obstetrics & Gynecology Physician	19933	KY

General Provider Information

NPI Number	:	1407414386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD JAMES THOMPSON MD MD

Provider Business Mailing Address
First Line	:	2200 VICTORY PKWY APT 1602
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2824
Country	:	US
Telephone Number	:	859-802-0648
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 VICTORY PKWY APT 1602
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2824
Country	:	US
Telephone Number	:	859-802-0648
Fax Number	:

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

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	06/05/2019

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