MEDICARE: DR. AMY M. THOMPSON M.D.

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	L7219	TX
2	207V00000X	Obstetrics & Gynecology Physician	36096	KY
3	207V00000X	Obstetrics & Gynecology Physician	35-090522	OH

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548250921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY M. THOMPSON M.D.

Provider Business Mailing Address
First Line	:	2830 VICTORY PKWY
Second Line	:	SUITE 140
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1785
Country	:	US
Telephone Number	:	513-245-3113
Fax Number	:	513-245-3110

Provider Business Practice Location Address
First Line	:	222 PIEDMONT AVE
Second Line	:	SUITE 5100
City	:	CINCINNATI
State	:	OH
Zip	:	45219-4231
Country	:	US
Telephone Number	:	513-475-8588
Fax Number	:

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	07/17/2012

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