Thomas J. Scornavacca, Jr.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

155208 Issued in MA

Legal business name

THOMAS J. SCORNAVACCA, JR.

Practice address

50 Memorial Dr
Suite 103
Leominster, MA 01453-2238

Phone

(978) 534-8607

Fax

(978) 840-4670

NPI assigned

Mar 15, 2007

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas J. Scornavacca Jr., D.O.

Title

Owner. Physician.

Phone

(978) 534-8607

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Twin City Family Practice Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1023142668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR",
            "address_2": "SUITE 103",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-534-8607",
            "fax_number": "978-840-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR",
            "address_2": "SUITE 103",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-534-8607",
            "fax_number": "978-840-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. SCORNAVACCA, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SCORNAVACCA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER. PHYSICIAN.",
        "authorized_official_telephone_number": "978-534-8607",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "155208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "155208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M17805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin City Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jillian Sarah Theberge, LCSW
• Katina Theodorou, LMHC
• Gene Theriault
• Cathrine Jane Thibault, LMT
• Samantha Marie Thibeault
• Babatunde O. Thomas, M.D.
• Chez Nanette Aneta Thomas
• Jancy Thomas, MD
• Jordan Kimberly Thomas
• Amy Elizabeth Thompson

• Family Medicine Physician in Leominster, MA
• Providers in Leominster, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.