Jessen Thomas, DO
Family Medicine in South Yarmouth, MA. Individual provider (NPI-1).
NPI number1164091088
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1164091088
- Entity type
- Individual (NPI-1)
- Name
- Jessen Thomas
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2021
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1021043 | MA | Yes |
Practice location
495 Station AveSouth Yarmouth, MA 02664-1218
Phone 774-552-3208
Mailing address
495 Station AveSouth Yarmouth, MA 02664-1218
Phone 774-552-3208
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in South Yarmouth, MA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.