Samuel Thomas
Physician Assistant in Revere, Massachusetts
1396592119- Practice location
- 339 Squire RD Ste 130-134, Revere, MA 02151-4396
- Phone
- 781-629-4897
- Fax
- —
- Last updated
- October 10, 2024
Samuel Thomas is a Physician Assistant based in Revere, MA. Samuel Thomas practices in Revere, MA. The NPI Number for Samuel Thomas is 1396592119 and holds a License No. PA100925 (MA). The current practice location address for Samuel Thomas is 339 Squire RD Ste 130-134, Revere, MA 02151-4396 and can be reached out via phone at 781-629-4897.
Provider Profile Details
- NPI Number
- 1396592119
- Provider Name
- Samuel Thomas
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 339 Squire RD Ste 130-134, Revere, MA 02151-4396
- Phone Number
- 781-629-4897
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 30, 2024
- Last Update Date
- October 10, 2024
- Certification Date
- October 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 339 Squire RD Ste 130-134
Revere, MA 02151-4396 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4396
- Phone Number
- 781-629-4897
Provider Business Mailing Address Details
- Address
- 339 Squire RD Ste 130-134
Revere, MA 02151-4396 - City
- Revere
- State
- MA
- Zip
- 02151-4396
License Information
- License Number
- PA100925
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samuel Thomas?
The NPI number of Samuel Thomas is 1396592119. It was assigned on April 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Samuel Thomas?
Samuel Thomas is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA100925.
Where does Samuel Thomas practice?
The practice location is 339 Squire RD Ste 130-134, Revere, MA 02151-4396. The office can be reached at 781-629-4897 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396592119 directly on the NPPES registry website.