Active NPI
Jacob Marlow Thomson, MA
- Technician/Technologist
- Biddeford, ME
National Provider Identifier
1124938394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- DLC5344
- Practice address
- 1 Medical Center Dr
Biddeford, ME 04005-9422 - Phone
- (207) 283-7000
- NPI assigned
- Sep 10, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | DLC5344 | ME | Primary |
| Technician/Technologist | 156F00000X | 0107835664MA | SC | |
| Intermediate Emergency Medical Technician | 146M00000X | 0107835664MA | SC | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 910594166 | ME |
Addresses
Primary practice location
1 Medical Center Dr
Biddeford, ME 04005-9422
Mailing address
11 Hills Beach Rd
Biddeford, ME 04005-9526
Phone (404) 990-0236
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DLC5344 | Other | ME | MAINE HEALTHCARE PROVIDER LICENSE |
| 0107835664MA | Other | SC | MEDICAL ASST |
| 910594166 | Other | ME | MEDICAL ASST. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1124938394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HILLS BEACH RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059526",
"telephone_number": "404-990-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059422",
"telephone_number": "207-283-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "JACOB",
"middle_name": "MARLOW",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "ME",
"license": "DLC5344",
"primary": true
},
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "SC",
"license": "0107835664MA",
"primary": false
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "SC",
"license": "0107835664MA",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "ME",
"license": "910594166",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE HEALTHCARE PROVIDER LICENSE",
"identifier": "DLC5344",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASST",
"identifier": "0107835664MA",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASST.",
"identifier": "910594166",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.