Organization Active NPI

Thompson Medical Associates LLC

  • Internal Medicine Physician
  • Gloucester, MA
National Provider Identifier
1104248368
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Candace Thompson, M.D.NPI 1013969906
Title
President
Phone
(978) 890-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140807001601 MA Part B Supplier - Clinic/Group Practice 1658598016 Receives reassigned benefits from 2 practitioners
Practice locations: Gloucester, MA

National Provider Directory

Locations

242 John Wise Ave
Essex, MA 01929
Phone (978) 879-7502

9 Dr Osman Babson Rd
#F
Gloucester, MA 01930

9E Dr Osman Babson Rd
Gloucester, MA 01930
Phone (978) 281-1144

9F Dr Osman Babson Rd
Gloucester, MA 01930
Phone (978) 890-7373

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

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

Mailing address

35 United Drive
Suite 102
West Bridgewater, MA 02379-1027
Phone (508) 238-8646

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2022.

{
    "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": []
}

Other providers in Gloucester, MA

Sources for this page

  • 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.