Holly Gwen Thompson in Kettering - Physician Assistant
Holly Gwen Thompson - NPI 1023191574
Holly Gwen Thompson is a Physician Assistant in Kettering, Ohio. Holly Gwen Thompson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Holly Gwen Thompson is 1023191574. The last update date is 2008-11-13.
Holly Gwen Thompson's current location address is 4750 Hempstead Station Dr, Kettering, Ohio. You can contact this provider via phone number 8008750136. The mailing address for Holly Gwen Thompson is 4750 Hempstead Station Dr, Kettering, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Gwen Thompson |
|---|---|
| Address | 4750 Hempstead Station Dr, Kettering, Ohio |
| Phone Number | 8008750136 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1023191574 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2008-11-13 |
Provider Mailing Address Detail
| Address | 4750 Hempstead Station Dr |
|---|---|
| City | Kettering |
| State | Ohio (OH) |
| Post Code | 454295164 |
| Phone Number | 8008750136 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0110-002246 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1071915 | WV | WV DWC | |
| 1718835 | WV | WV BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Holly Gwen Thompson by the Centers for Medicare & Medicaid Services?
The Holly Gwen Thompson has been issued the NPI (National Provider Identifier) 1023191574, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Holly Gwen Thompson is located?
The Holly Gwen Thompson is situated at the following address: 4750 Hempstead Station Dr, Kettering, OH, 454295164.
What is the Holly Gwen Thompson's area of specialization and corresponding taxonomy classification?
The Holly Gwen Thompson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1023191574 assigned to Holly Gwen Thompson?
The Holly Gwen Thompson was issued its 1023191574 on 2006-10-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Holly Gwen Thompson most recently updated?
The details pertaining to the Holly Gwen Thompson, including its address, specialty, and other relevant information, were last refreshed on 2008-11-13.
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