Individual provider Active NPI

Beatrix Sylvie Thomas, MD

  • Family Medicine Physician
  • Stoneham, MA
National Provider Identifier
1255329652
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44853 Issued in MA
Practice address
3 Woodland Rd
Suite 119
Stoneham, MA 02180-1702
Phone
(781) 665-7557
Fax
(781) 662-2957
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44853 MA Primary

Addresses

Primary practice location

3 Woodland Rd
Suite 119
Stoneham, MA 02180-1702

Mailing address

3 Woodland Rd
Suite 119
Stoneham, MA 02180-1702
Phone (781) 665-7557

Other identifiers 1

IdentifierTypeStateIssuer
2087936MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000100 MA Practitioner - Family Practice 7719918598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44853MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Family Medicine CurrentSince Apr 1, 2006 Accepting new patients
Digestive Health Associates P.C. Past Accepting new patients

Locations

101 Main St
Ste 116
Medford, MA 02155
Phone (781) 391-2121

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

3 Woodland Rd
Ste 302
Stoneham, MA 02180
Phone (781) 665-7557

3 Woodland Rd
Ste 119
Stoneham, MA 02180
Phone (781) 279-2454

3 Woodland Rd
Ste 306
Stoneham, MA 02180
Phone (781) 665-3380

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1255329652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 119",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-665-7557",
            "fax_number": "781-662-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 119",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-665-7557",
            "fax_number": "781-662-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BEATRIX",
        "middle_name": "SYLVIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "44853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087936",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.