Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 10008 | AL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 10008 | AL |
NPI | 1205836574 |
---|---|
Provider Name | Dr. Thomas R. Dempsey |
First Address | Mobile, AL 36608-2646 |
Second Address | Mobile, AL 36608-2646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 10/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000026735 | (05) | AL |
00098072 | (05) | MS |
200024216 | RAILROAD MEDICARE (01) | |
C75351 | (02) | AL |