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

S Michelle Thornblade, PAC

Individual provider Physician Assistant · NPI 1629079454

S Michelle Thornblade, PAC is a Physician Assistant in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2005.

Licensed in
MD
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

3975 Saint Charles Pkwy
Waldorf, MD 20602-2683
Phone: (301) 645-6800
Fax: (301) 645-8696
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0002969 (MD)

Record details

NPI number1629079454
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESJuly 8, 2007

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