Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael D. Thompson, PA-C

Individual provider Surgical Physician Assistant · NPI 1679682447

Michael D. Thompson, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2021, 5 years ago. Practices with St John Physicians, Inc, a 264-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
5
Licensed in
MO, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6475 S Yale Ave Ste 200
Tulsa, OK 74136-7816
Phone: (918) 494-4460
Fax: (918) 494-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1774 (OK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2003020147 (MO)

Record details

NPI number1679682447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESOctober 3, 2018
Mailing address6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St. John Physicians, Inc. — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tulsa