Individual
DR. IAN MARTIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 45502-1312
(937) 398-1066
(937) 398-1076
Mailing address
140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 45502-1312
(937) 398-1066
(937) 398-1076
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-085484
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35-085484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10636333
CAQH
OH
05
—
2587615
—
OH
01
—
368457
ANTHEM
—
01
—
7263710
AETNA
—
Enumeration date
05/15/2006
Last updated
01/19/2026
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