Samuel Thomas
Samuel Thomas is a Physician Assistant in Revere, Massachusetts. Qualified in 2024, 2 years ago. Practices with Nvr and Sdd Convenient Care PC, a 7-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 2
- Licensed in
- MA
- In the registry since
- 2024
Practice location Address checks out
339 Squire Rd Ste 130-134Revere, MA 02151-4396
Phone: (781) 629-4897
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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 PA100925 (MA) |
|---|
Record details
| NPI number | 1396592119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2024 |
| Last updated in NPPES | October 10, 2024 |
| Certification date | October 10, 2024 |
| Mailing address | 339 Squire Rd Ste 130-134, Revere, MA 02151-4396 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Nvr And Sdd Convenient Care Pc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Revere
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Arleigh Goodwin, PA-C
454 Broadway, Revere, MA 02151-3034 · (781) 485-8222
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Oleksandra Myronenko, PA-C
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Andy Duy Pham, PA
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Jessica Nicole Souther
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Meghan Evelyn Wilson, PA-C
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