MARK E THOMPSON, DO, Radiation Oncology LAKE CITY, FL

Contact Information

MARK E THOMPSON, DO

4520 W US HIGHWAY 90
LAKE CITY, FL 32055-8341

Phone: 352-755-0601
Fax: 352-755-0602
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Radiation Oncology	2085R0203X
Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for MARK E THOMPSON · (Male)

NPI Number	`1487646030`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	08/19/2005
Last updated	05/05/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	FL License # OS10194 FL Medicaid 279300800 OH Medicaid 0825156 FL Other 310302 AVMED FL Other 02484 BLUE CROSS BLUE SHIELD FL Other PTAN AG644E LINKED TO GROUP PTAN IE881A EFFECTIVE 08/01/2015
Hospital affiliation(s)	LAKE CITY MEDICAL CENTER - (Acute Care) 340 NW COMMERCE DR LAKE CITY, FL 32055

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MARK E THOMPSON, DO – NPI #1487646030Radiation Oncology

Contact Information

Specialty

Radiation Oncology

Radiation Oncology

NPI Profile & details for MARK E THOMPSON · (Male)

Reviews for MARK E THOMPSON

MARK E THOMPSON, DO – NPI #1487646030
Radiation Oncology