Evan Shayne Thompson , HS, IDT, IPM
Technician, Other • Washington, DC
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Evan Thompson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Evan Thompson, HS, IDT, IPM was a registered Technician, Other practicing in Washington, DC. Throughout an active medical career spanning 18 years, Evan Thompson provided care at the practice location at COMDT CG-1122 until profile deactivation on 2024-04-17.
Practice Location & Contact Primary Location
Comdt Cg-1122
U.s.coast Guard, 2100 2nd St Sw, Suite 5314
Washington, DC 205930001
Specialty Benchmarks & Practice Insights
Comparative analytics for Technician, Other in Washington, DC
Practicing in Washington, DC (218 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 247200000X
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Technician, Other
Dental Hygienist
Registered Dental Hygienist
Technician, Other
Technician, Other
RT(R)
Technician, Other
Technician, Other
HCM, Bachelor of Science
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 17, 2024
NPI status registered as active in NPPES database
Registered at COMDT CG-1122, U.S.COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 205930001 (Tel: 2024755182)
Registered at 406 SUSAN DR, CHESAPEAKE, VA 233206818 (Tel: 7576284344)
Recorded as EVAN THOMPSON, HS, IDT, IPM
Technician, Other
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
406 Susan Dr
Chesapeake, VA 233206818
Phone: 7576284344
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