Individual
WILLIAM PETER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002669A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001255120
ANTHEM PTAN
IN
01
—
068010493
MEDICARE PTAN
IN
05
—
300023961
—
IN
01
—
Q00022485
RAILROAD PTAN
IN
Enumeration date
02/11/2019
Last updated
02/19/2025
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