Mark Edmund Thompson in Lake City - Radiation Oncology

Mark Edmund Thompson - NPI 1487646030

Mark Edmund Thompson is a Radiation Oncology in Lake City, Florida. Mark Edmund Thompson practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Mark Edmund Thompson is 1487646030. The last update date is 2023-02-16.

Mark Edmund Thompson's current location address is 4520 W Us Highway 90, Lake City, Florida. You can contact this provider via phone number 3527550601 and fax number 3527550602. The mailing address for Mark Edmund Thompson is 4520 W Us Highway 90, Lake City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Edmund Thompson
Address 4520 W Us Highway 90, Lake City, Florida
Phone Number 3527550601
Fax Number 3527550602
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1487646030
Provider Enumeration Date 2005-08-19
Last Updated Date 2023-02-16

Provider Mailing Address Detail

Address 4520 W Us Highway 90
City Lake City
State Florida (FL)
Post Code 320558341
Phone Number 3527550601
Fax Number 3527550602

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No OS10194
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
310302 FL AVMED
279300800 FL --
825156 OH --
PTAN AG644E FL LINKED TO GROUP PTAN IE881A EF
2484 FL BLUE CROSS BLUE SHIELD

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FAQs about Mark Edmund Thompson

What is the unique identifier code issued to Mark Edmund Thompson by the Centers for Medicare & Medicaid Services?

The Mark Edmund Thompson has been assigned the NPI (National Provider Identifier) 1487646030. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mark Edmund Thompson?

The Mark Edmund Thompson is situated at 4520 W Us Highway 90, in the city of Lake City, state of FL, with the zip code 320558341.

What is Mark Edmund Thompson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark Edmund Thompson is Radiation Oncology, and the corresponding taxonomy classification code for this specialized field is 2085R0001X.

When was the Mark Edmund Thompson's 1487646030 issued?

The Mark Edmund Thompson's 1487646030 was issued on 2005-08-19.

As of what date was the information pertaining to Mark Edmund Thompson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark Edmund Thompson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-16.

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