MEDICARE: MS. JOAN 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
1	363AM0700X	Medical Physician Assistant	003841	NY
2	363A00000X	Physician Assistant	7524958-1206	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538244702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOAN THOMPSON PA-C

Provider Business Mailing Address
First Line	:	30 N 1900 E
Second Line	:	RM 4B320 SOM
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-2405
Country	:	US
Telephone Number	:	801-851-6390
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 N 1900 E
Second Line	:	RM 4B320 SOM
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-2405
Country	:	US
Telephone Number	:	801-851-6390
Fax Number	:

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/11/2012

Similar Medicare Providers

1174564108 — DR. SANKAR SWAMINATHAN MD
Practice Location Address:

30 N 1900 E , ROOM 4B319
SALT LAKE CITY, UT
84132-2405

Practice Phone: 801-587-8812
Practice Fax:

1013369925 — QUINTON ALLRED PA-C
Practice Location Address:

30 N 1900 E
SALT LAKE CITY, UT
84132-2405

Practice Phone: 801-581-7822
Practice Fax:

1235221219 — DR. MARVIN JASON YOUNG MD
Practice Location Address:

1071 S SUN DR , SUITE 1003
LAKE MARY, FL
32746-2405

Practice Phone: 407-302-2620
Practice Fax: 407-302-2690

1881724730 — MS. MICHELLE BREUNIG DNP, CNS, FNP-C
Practice Location Address:

426 S LAKE ST
GARY, IN
46403-2405

Practice Phone: 219-939-6070
Practice Fax: 219-939-6090

1831398130 — MR. ROBERT BASKIN ANDERSON LPC, CADC III
Practice Location Address:

4248 GALEWOOD ST STE 18
LAKE OSWEGO, OR
97035-2405

Practice Phone: 503-997-3394
Practice Fax: 888-690-0820

1700064201 — WALKER MEDICAL LLC
Practice Location Address:

426 S LAKE ST
GARY, IN
46403-2405

Practice Phone: 219-939-8970
Practice Fax: 219-939-6090

Directions to “ MS. JOAN THOMPSON PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.