Active NPI
Gentry W Thatcher, MD
- Otolaryngology Physician
- N Andover, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 204712
- Practice address
- 198 Massachusetts Ave #103
N Andover, MA 01845 - Phone
- (978) 685-7550
- Fax
- (978) 686-5565
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 204712 | MA | Primary |
| Otolaryngology Physician | 207Y00000X | 11012 | NH |
Addresses
Primary practice location
198 Massachusetts Ave #103
N Andover, MA 01845
Mailing address
198 Massachusetts Ave #103
N Andover, MA 01845
Phone (978) 685-7550
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2344337 | Other | AETNA/USHC | |
| B20973001 | Other | CIGNA | |
| 0020548 | Other | NHP | |
| 01Y002475MA01 | Other | NH BS | |
| 204712 | Other | SECURE HORIZ | |
| 7439118-001 | Other | CIGNA PAL | |
| 76754 | Other | AAO/HNS | |
| 976854 | Other | NETWORK HEALTH | |
| J22387 | Other | BS-HMO | |
| 10-00243 | Other | UNITED HC | |
| J22387 | Other | BS/MA | |
| 0104914 | Medicaid | MA | |
| 19901 | Other | H/PIL | |
| 65475 | Other | FALLON | |
| 040015652 | Other | MC RR | |
| 204712 | Other | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tufts University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 B Keewaydin Dr
Salem, NH 03079-2839
Phone (978) 685-7550
198 Massachusetts Ave
Suite 103
North Andover, MA 01845-4143
Phone (978) 685-7550
Hospital & facility affiliations
- Holy Family Hospital
- Merrimack Health Lawrence Hospital
- Parkland Medical Center
- Anna Jaques Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.77 of 100
- Quality
- 73.83
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Hearing Center LLC | Current | Accepting new patients |
Locations
14B Keewaydin Dr
Salem, NH 03079
Phone (978) 685-7550
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- N Andover, MA
- NPI 1437197092
NH
-
- Audiologist
- Salem, NH
- NPI 1962094540
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124020730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 MASSACHUSETTS AVE #103",
"city": "N ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-685-7550",
"fax_number": "978-686-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 MASSACHUSETTS AVE #103",
"city": "N ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-685-7550",
"fax_number": "978-686-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THATCHER",
"first_name": "GENTRY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "204712",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NH",
"license": "11012",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "2344337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20973001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0020548",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH BS",
"identifier": "01Y002475MA01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZ",
"identifier": "204712",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL",
"identifier": "7439118-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAO/HNS",
"identifier": "76754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "976854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS-HMO",
"identifier": "J22387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC",
"identifier": "10-00243",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS/MA",
"identifier": "J22387",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104914",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "H/PIL",
"identifier": "19901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "65475",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC RR",
"identifier": "040015652",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "204712",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.