Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 22806 | NE |
N | 207XS0106X | Orthopaedic Hand Surgeon | 22806 | NE |
NPI | 1063428167 |
---|---|
Provider Name | Dr. Michael Andrew Thompson |
First Address | Omaha, NE 68144-5253 |
Second Address | Omaha, NE 68144-5253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00157254 | MEDICARE RAILROAD (01) | NE |