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

Elizabeth Thidemann, PA-C

Individual provider Physician Assistant · NPI 1629791975

Elizabeth Thidemann, PA-C is a Physician Assistant in Cambridge, Massachusetts. Qualified in 2023, 3 years ago. Practices with Mount Auburn Professional Services Inc, a 228-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

725 Concord Ave Ste 6100
Cambridge, MA 02138-1040
Phone: (617) 864-8822
Fax: (617) 491-4692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 Huntington Avenue, Boston, MA 02115 — (617) 373-3195

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA100051 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA100051 (MA)

Record details

NPI number1629791975
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mount Auburn Professional Services Inc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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