Individual provider Active NPI

William L Thornson, PA-C

  • Medical Physician Assistant
  • New Bedford, MA
National Provider Identifier
1750369278
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
288572 Issued in MA
Practice address
890 Brock Ave
New Bedford, MA 02744-1626
Phone
(508) 984-5671
NPI assigned
Jan 4, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 288572 MA Primary

Addresses

Primary practice location

890 Brock Ave
New Bedford, MA 02744-1626

Mailing address

85 E Main St
Fall River, MA 02724-3348
Phone (508) 984-5671

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000406 MA Practitioner - Physician Assistant 1658333703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.51 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
78.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
768MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aco Signature Services PastSince Mar 1, 2015 Accepting new patients
Prima Care, PC Past Accepting new patients
Boston Neurobehavioral Associates, LLC Past Accepting new patients
Premier Healthcare Services, LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1750369278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027243348",
            "telephone_number": "508-984-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BROCK AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027441626",
            "telephone_number": "508-984-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNSON",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "288572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.