Active NPIIndividual provider

Thomas W Johnson, MD

Surgery in Southbridge, Massachusetts

NPI Number1659476182
Practice location
100 South St, Suite 108, Southbridge, MA 01550-4051
Fax
508-764-2457
Last updated
September 30, 2015

Thomas W Johnson is a Surgery based in Southbridge, MA. Thomas W Johnson practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Thomas W Johnson is 1659476182 and holds a License No. 216119 (MA). The current practice location address for Thomas W Johnson is 100 South St, Suite 108, Southbridge, MA 01550-4051 and can be reached out via phone at 508-764-6966 and via fax at 508-764-2457.

Provider Profile Details

NPI Number
1659476182
Provider Name
Thomas W Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 South St, Suite 108, Southbridge, MA 01550-4051
Phone Number
508-764-6966
Fax Number
508-764-2457
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2006
Last Update Date
September 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 South St
Suite 108
Southbridge, MA 01550-4051
Zip
01550-4051
Phone Number
508-764-6966
Fax Number
508-764-2457
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
Po Box 40
Southbridge, MA 01550-0040
City
Southbridge
State
MA
Zip
01550-0040
Phone Number
508-909-7799
Fax Number
508-764-2432

License Information

License Number
216119
License State
MA
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Thomas W Johnson, MD?

The NPI number of Thomas W Johnson, MD is 1659476182. It was assigned on September 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Thomas W Johnson, MD?

Thomas W Johnson, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 216119.

Where does Thomas W Johnson, MD practice?

The practice location is 100 South St, Suite 108, Southbridge, MA 01550-4051. The office can be reached at 508-764-6966 (phone) or 508-764-2457 (fax).

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 1659476182 directly on the NPPES registry website.

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