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

Mark Thomas Kestner, PA

Individual provider Physician Assistant · NPI 1053863662

Mark Thomas Kestner, PA is a Physician Assistant in Medford, Massachusetts. Qualified in 2016, 10 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

44 Manning St
Medford, MA 02155-4422
Phone: (602) 315-0423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6008 (MA)

Record details

NPI number1053863662
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 30, 2016
Last updated in NPPESJanuary 31, 2017
Mailing address44 Manning St, Medford, MA 02155-4422

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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