Provider Demographics
NPI:1215986690
Name:THOMPSON, LEIGH ANNA (MD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANNA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:303-876-8320
Mailing Address - Fax:888-701-4175
Practice Address - Street 1:3235 MILL VISTA RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2440
Practice Address - Country:US
Practice Address - Phone:303-876-8320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0063412207R00000X
GA058023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00335910OtherRAILROAD MEDICARE
GA271427118AMedicaid
GA058023OtherGEORGIA STATE LICENSE
UT57668641205OtherUTAH STATE LICENSE
GA199919OtherBCBS OF GEORGIA
GA199919OtherBCBS OF GEORGIA
GAP00335910OtherRAILROAD MEDICARE