Thompson Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THOMPSON MEDICAL ASSOCIATES LLC

Practice address

9F Dr Osman Babson Rd
Gloucester, MA 01930-1812

Phone

(978) 890-7373

Fax

(978) 890-7372

NPI assigned

Jan 7, 2014

Last updated

Mar 22, 2022By 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

Candace Thompson, M.D.NPI 1013969906

Title

President

Phone

(978) 890-7373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candace Lewann Thompson, D.O.

  • Internal Medicine Physician
  • Gloucester, MA
  • NPI 1013969906
  Medicare reassignment NPD Authorized official
• Ryan Robert Godfrey, PA-C

  • Surgical Physician Assistant
  • Boston, MA
  • NPI 1447683016
  Medicare reassignment
• Amy Lane, PA-C

  • Physician Assistant
  • Gloucester, MA
  • NPI 1932717816
  NPD (past)

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1104248368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DRIVE",
            "address_2": "SUITE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646",
            "fax_number": "508-230-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9F DR OSMAN BABSON RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301812",
            "telephone_number": "978-890-7373",
            "fax_number": "978-890-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-890-7373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Suppes Testaverde, BSW
• Donald Wayne Tgettis, D.C.
• The Couples Project PLLC
• The Open Door
• Thomas S. Pearce
• Candace Lewann Thompson, D.O.
• Mary E. Thompson, N.P.
• Zureyma Thompson
• Tish A Thornley, RN DC
• Mary Lou Tierney, NBC-HWC

• Internal Medicine Physician in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.