Active NPI
Jennifer Mary Thomas, PA-C
- Physician Assistant
- Woburn, MA
National Provider Identifier
1295845709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2197
- Practice address
- 23 Warren Ave
Woburn, MA 01801-7906 - Phone
- (781) 933-1198
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2197 | MA | Primary |
Addresses
Primary practice location
23 Warren Ave
Woburn, MA 01801-7906
Mailing address
23 Warren Ave
Suit 100
Woburn, MA 01801-7906
Phone (781) 933-1198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211110000397 | PA | Practitioner - Physician Assistant | 9335145887 | Reassigns benefits to 4 organizations |
| I20221013001790 | DE | Practitioner - Physician Assistant | 9335145887 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Main Line Healthcare
Practice addresses (Care Compare)
830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118
Hospital & facility affiliations
- Riddle Memorial Hospital
- Main Line Hospital Lankenau
- Bryn Mawr Hospital
- Chester County Hospital
- Paoli Hospital
- Bryn Mawr Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2197 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Woburn Medical Associates PC | Past | Accepting new patients | |
| Winchester Physician Associates | Past | Accepting new patients |
Locations
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
PA
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
-
- Internal Medicine Physician
- North Reading, MA
- NPI 1215919931
-
- Internal Medicine Physician
- Woburn, MA
- NPI 1104813476
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1295845709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WARREN AVE",
"address_2": "SUIT 100",
"city": "WOBURN",
"state": "MA",
"postal_code": "018017906",
"telephone_number": "781-933-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WARREN AVE",
"city": "WOBURN",
"state": "MA",
"postal_code": "018017906",
"telephone_number": "781-933-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNIFER",
"middle_name": "MARY",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "2197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.