Dr. Earl Van Horn Thompson Iv
Colon & Rectal Surgery

Address: 2123 Auburn Ave, Cincinnati, OH 45219-2906
Phone: 5139290104

Dr. Earl Van Horn Thompson Iv (NPI# 1952627853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1952627853
Entity Type Individual
Full Name Dr. Earl Van Horn Thompson Iv
Credential MD
Gender Male
Practice Address 2123 Auburn Ave
Cincinnati
OH 45219-2906
Practice Telephone 5139290104
Practice Fax Number 5139294369
Mailing Address Po Box 636256 Central Credentialing
Cincinnati
OH 45263-6256
Mailing Telephone 5135855506
Mailing Fax Number 5135855511
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2010-04-16
Last Update Date 2018-02-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians MD456123 PA
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Yes 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians 35.129254 OH

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NPI Name Taxonomy Address Enumeration
1255338166 Earl R Thompson Physician Assistant 3308 Samson Way, Bellevue, NE 68123-3234 2005-07-07
1225319627 Earl Arthur Thompson IIi Pharmacist 1964 Fuller Ave Ne, Grand Rapids, MI 49505-4861 2011-08-30

Physician Overview

NPI 1952627853
PAC ID by PECOS 4981994548
Professional Enrollment ID I20160817001342
Full Name Earl Van Horn Thompson
Organization Legal Name UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
Phone Number 5135850523
Gender M
Medical School CORNELL UNIVERSITY MEDICAL COLLEGE
Graduation Year 2010
Primary Specialty COLORECTAL SURGERY (PROCTOLOGY)
Group Practice PAC ID 2264344480
Number of Group Practice Members 1092
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360003 UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
360163 CHRIST HOSPITAL

Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982753067 Jack D. Selzer, M.d. and Associates Inc Colon & Rectal Surgery 10495 Montgomery Rd Ste 26, Cincinnati, OH 45242-4420 2007-01-09
1447208392 Martha A Ferguson Colon & Rectal Surgery 2123 Auburn Ave., Cincinnati, OH 45219 2006-05-04
1336450840 Cory D Barrat Colon & Rectal Surgery 4750 E Galbraith Rd, Ste 207, Cincinnati, OH 45236-6705 2010-06-30
1447450804 Colon & Rectal Disease Center, Inc. Colon & Rectal Surgery 10496 Montgomery Rd, Suite 204, Cincinnati, OH 45242-5220 2007-07-23
1871561464 Janice Rafferty Colon & Rectal Surgery 2123 Auburn Ave, Ste. 524, Cincinnati, OH 45219-2906 2006-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932592102 Erman Aytac Colon & Rectal Surgery A30-234 9500 Euclid Ave, Cleveland, OH 44195-0002 2015-03-12
1609284850 Sameer Memon Colon & Rectal Surgery 3353 Hollister Rd, Cleveland, OH 44118-1325 2014-07-31
1619282290 Sean Martin Colon & Rectal Surgery 1924 E 86th St, Cleveland, OH 44106-2021 2010-08-08
1932373446 Myles Richard Joyce Colon & Rectal Surgery 9500 Euclid Ave # A30, Cleveland, Cleveland, OH 44195-0001 2008-04-15
1780855965 Chucheep Sahakitrungruang Colon & Rectal Surgery 9500 Euclid Ave Department of Colorectal Surgery A30, The Cleveland Clinic Foundation, Cleveland, OH 44195 2008-03-17
1851467492 Colon & Rectal Surgery Inc Colon & Rectal Surgery 5965 East Broad St, #200, Columbus, OH 43213 2006-11-27
1124136205 Steven Joseph Werling Colon & Rectal Surgery 1301 E Ash St, Suite C, Piqua, OH 45356 2006-08-28
1154357085 Bradley J Champagne Colon & Rectal Surgery 11100 Eudlid Avenue, Cleveland, OH 44106 2006-06-23
1144213877 Bee Min Lim Colon & Rectal Surgery 16 Colonial Dr, Youngstown, OH 44505-2137 2005-08-29
1386644383 Miquel A Bravo Colon & Rectal Surgery 420 S James St, Dover, OH 44622-3206 2005-08-01
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Office Location

Street Address 2123 AUBURN AVE
City CINCINNATI
State OH
Zip Code 45219-2906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750380341 Eli M Roth Internal Medicine 2123 Auburn Ave, Suite 624, Cincinnati, OH 45219-2906 2005-07-18
1285120253 Tiffany Kocher Nurse Practitioner 2123 Auburn Ave, Cincinnati, OH 45219 2018-07-02
1164944120 Hannah Seger Registered Nurse 2123 Auburn Ave, Cincinnati, OH 45219-2906 2017-07-12
1043744063 Miranda Jean Miller Nurse Practitioner 2123 Auburn Ave, Suite 401, Cincinnati, OH 45219 2017-04-17
1437681764 Eric Edward Cooney Student in an Organized Health Care Education/Training Program 2123 Auburn Ave, Suite 340, Cincinnati, OH 45219-2906 2017-03-27
1922539048 Sarah Ruth Hollis Student in an Organized Health Care Education/Training Program 2123 Auburn Ave, Suite 340, Cincinnati, OH 45219-2906 2017-03-21
1811428097 Shelby Nicole Dvorak Student in an Organized Health Care Education/Training Program 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 2017-03-21
1043751225 Christian Erik Gausvik Jr. Student in an Organized Health Care Education/Training Program 2123 Auburn Ave, Suite 340, Cincinnati, OH 45219 2017-03-20
1578003620 Rachel Steele Registered Nurse 2123 Auburn Ave, Cincinnati, OH 45219-2906 2017-03-07
1013456029 Jill Gast Nurse Practitioner 2123 Auburn Ave, Suite 320, Cincinnati, OH 45219-2906 2017-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679137764 Eric Lauron Tharmathurai Student in an Organized Health Care Education/Training Program Tch Internal Medicine, 2139 Auburn Ave., Cincinnati, OH 45219 2019-04-24
1164982773 Zein Mouaffaq Saad Eddin Student in an Organized Health Care Education/Training Program 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 2019-03-20
1386103273 Ismaeel Siddiqi Student in an Organized Health Care Education/Training Program 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 2019-03-19
1285123612 Anna Vaughan Counselor 2828 Vernon Place, Cincinnati, OH 45219 2018-05-01
1043707565 Chizara Nwade Student in an Organized Health Care Education/Training Program Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 2018-04-19
1861997074 Hassan R Saleh Student in an Organized Health Care Education/Training Program 234 Goodman Street, Ml 0781, Internal Medicine, Cincinnati, OH 45219 2018-03-28
1003318601 Heather Strong Student in an Organized Health Care Education/Training Program 2825 Burnet Ave., 4th Floor, Cincinnati, OH 45219 2018-02-28
1194232918 Sharlene Cleta Lillie Counselor 199 William Howard Taft Road, Cincinnati, OH 45219 2018-01-02
1639697287 Caleb Paul Liebing Physician Assistant 2123 Auburn Avenue Su. 201, Cincinnati, OH 45219 2017-09-05
1174049225 Susan Foad Nurse Practitioner 2123 Auburn Ave Ste 520, Cincinnati, OH 45219 2017-08-21
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Competitor

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City CINCINNATI
Zip Code 45219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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