Thomas Mitchell MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

76490 Issued in MA

Legal business name

THOMAS MITCHELL MD PC

Practice address

55 Fogg Rd
South Weymouth, MA 02190-2432

Phone

(781) 826-5429

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Suzanne Forde Rynne

Title

Billing Manager

Phone

(781) 826-5429

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1700072196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2315",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023398315",
            "telephone_number": "781-826-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902432",
            "telephone_number": "781-826-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MITCHELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "RYNNE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "FORDE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "781-826-5429"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "76490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3168760",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "076490",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J17798",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "172423",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ritamarie Antonia Testa, CNM
• Joseph Paul Thalackan
• The Toothboss PLLC
• Chelsea Theran
• Ganesh Thippeswamy, MD
• Janet L. Thompson, NP
• Jennifer Lynn Thompson, DPT
• Megan Elizabeth Lee Thoren, PA-C
• Megan Welch Tibbetts
• Meghan Ann Tierney, OT

• Orthopaedic Surgery Physician in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.