Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 0101230792 | VA |
N | 2080P0202X | Pediatric Cardiologist | D0057502 | MD |
N | 2080P0202X | Pediatric Cardiologist | MD30042 | DC |
Y | 2080P0202X | Pediatric Cardiologist | ME147066 | FL |
NPI | 1275595910 |
---|---|
Provider Name | James Alan Thompson |
First Address | St Petersburg, FL 33701-4634 |
Second Address | St Petersburg, FL 33701-4634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005874149 | (05) | VA |
526610601 | (05) | MD |
H64924 | (02) |