Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniel Thomas Spicer, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1083246870

Daniel Thomas Spicer, PHYSICIANASSISTANT is a Physician Assistant in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2020, 6 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2020
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Practice location Address checks out

136 Harrison Ave
Boston, MA 02111-1817
Phone: (508) 887-3378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-1817 — (781) 744-8085

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7420 (MA)

Record details

NPI number1083246870
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address11 Elmwood St, Somerville, MA 02144-2407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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