Individual provider Active NPI

Thomas Spiro, P.A.

  • Physician Assistant
  • Wareham, MA
National Provider Identifier
1205804440
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA249 Issued in MA
Practice address
100 Rosebrook Way
Southcoast Physician Services, Inc 2ND Floor
Wareham, MA 02571-2097
Phone
(508) 273-4950
Fax
(508) 273-4951
NPI assigned
Mar 14, 2006
Last updated
Jun 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 249 MA
Physician Assistant 363A00000X PA249 MA Primary

Addresses

Primary practice location

100 Rosebrook Way
Southcoast Physician Services, Inc 2ND Floor
Wareham, MA 02571-2097

Mailing address

370 Faunce Corner Road
Southcoast Physician Services, Inc.
North Dartmouth, MA 02747-1271
Phone (508) 985-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
249MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Bedford Medical Associates PC Past Accepting new patients
Southcoast Physicians Group, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1205804440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 FAUNCE CORNER ROAD",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471271",
            "telephone_number": "508-985-2000",
            "fax_number": "508-985-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSEBROOK WAY",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC 2ND FLOOR",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712097",
            "telephone_number": "508-273-4950",
            "fax_number": "508-273-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRO",
        "first_name": "THOMAS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "249",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.