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NPI Code Detail

MEDICARE: JAMES F. THOMSON M.D.

MEDICARE: JAMES F. THOMSON 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
1207Q00000XFamily Medicine PhysicianM4640ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000010158836OTHERIDREGENCE BLUE SHIELD
240659OTHERIDBLUE CROSS

General Provider Information

NPI Number : 1760453781
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES F. THOMSON M.D.
Provider Business Mailing Address
First Line : 1102 E LOCUST ST
Second Line :
City : EMMETT
State : ID
Zip : 83617-2713
Country : US
Telephone Number : 208-365-6004
Fax Number : 208-365-3589
Provider Business Practice Location Address
First Line : 1102 E LOCUST ST
Second Line :
City : EMMETT
State : ID
Zip : 83617-2713
Country : US
Telephone Number : 208-365-6004
Fax Number : 208-365-3589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2006
Last Update Date : 07/08/2007

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