Reading Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

058057 Issued in MA

Legal business name

READING FAMILY MEDICINE PC

Practice address

30 Newcrossing Rd Ste 301
Reading, MA 01867-3254

Phone

(781) 942-0380

Fax

(781) 246-6725

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Russell Jevon, M.D.

Title

Owner Physician

Phone

(781) 942-0380

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1720142912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673254",
            "telephone_number": "781-942-0380",
            "fax_number": "781-246-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673254",
            "telephone_number": "781-942-0380",
            "fax_number": "781-246-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READING FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "JEVON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "781-942-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "058057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1104898022",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Reading, MA
• Providers in Reading, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.