Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Madeleine A Thompson, PA-C, RD, LD

Individual provider Surgical Physician Assistant · NPI 1417445941

Mrs. Madeleine A Thompson, PA-C, RD, LD is a Surgical Physician Assistant in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

621 S New Ballas Rd Ste 7008B
Saint Louis, MO 63141-8275
Phone: (314) 251-8750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15945 Clayton Rd Ste 120, Ballwin, MO 63011-2490 — (314) 251-8750

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2108009745 (MO)

Record details

NPI number1417445941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RD , LD
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

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