Individual provider Active NPI

Thomas Michael Quinn, PA-C

  • Medical Physician Assistant
  • Lancaster, MA
National Provider Identifier
1235742842
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1361 Main St
Lancaster, MA 01523-2584
Phone
(978) 365-3980
NPI assigned
Aug 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1361 Main St
Lancaster, MA 01523-2584

Mailing address

1361 Main St
Lancaster, MA 01523-2584
Phone (978) 365-3980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tquinn464530@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210125001326 CT Practitioner - Physician Assistant 1254745763 Reassigns benefits to 1 organization
I20220805002131 NH Practitioner - Physician Assistant 1254745763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monadnock Community HospitalGroup PAC ID 7416933031, shared by 5 NPIs, 67 clinicians

Practice addresses (Care Compare)

452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1863NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Feb 15, 2021 Accepting new patients
Monadnock Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
Monadnock Community Hospital Current Accepting new patients
Monadnock Community Hospital CurrentSince Jun 1, 2022 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

454 Old Street Rd
Ste 107
Peterborough, NH 03458
Phone (603) 924-2600

458 Old Street Rd
Ste 200
Peterborough, NH 03458
Phone (603) 924-2144

Interoperability endpoints

  • Direct secure messaging: thomas.quinn@mhp.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1235742842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 MAIN ST",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015232584",
            "telephone_number": "978-365-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 MAIN ST",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015232584",
            "telephone_number": "978-365-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tquinn464530@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1361 Main St",
            "city": "Lancaster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015232584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.