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

Thomas W Johnson, MD

Individual provider Surgery Physician · NPI 1659476182

Thomas W Johnson, MD is a General Surgery in Southbridge, Massachusetts. Graduated from Medical College of Pennsylvania in 1996, 30 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
30
Trained at
Medical College of Pennsylvania
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 S St Ste 108
Southbridge, MA 01550-4051
Phone: (508) 764-6966
Fax: (508) 764-2457
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 216119 (MA)

Record details

NPI number1659476182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESSeptember 30, 2015
Mailing addressPo Box 40, Southbridge, MA 01550-0040

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF PENNSYLVANIA
Graduated 1996 (30 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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