Thompson Plastic Surgery Associates, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

209748 Issued in MA

Legal business name

THOMPSON PLASTIC SURGERY ASSOCIATES, LLC

Practice address

18 Washington St
Suite 201
Foxboro, MA 02035-1021

Phone

(508) 698-0888

Fax

(508) 698-0889

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Thompson, M.D.

Title

Board Certified Plastic Surgeon

Phone

(508) 698-0888

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417010075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351021",
            "telephone_number": "508-698-0888",
            "fax_number": "508-698-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351021",
            "telephone_number": "508-698-0888",
            "fax_number": "508-698-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON PLASTIC SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BOARD CERTIFIED PLASTIC SURGEON",
        "authorized_official_telephone_number": "508-698-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "209748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5967055",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "413768",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MA",
            "identifier": "M19277",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "31896-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "419335",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COM. HEALTH PLAN",
            "identifier": "608893",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11167384",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143880",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA70338",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sarah Anne Tetrault, OTR/L, CTRS
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• Plastic Surgery Physician in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Plastic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.