MR. BENJAMIN ROBERT THORN (NPI# 1497000434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497000434 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN ROBERT THORN |
| Credential | PA-C |
| Practice Address |
5 Middlesex Ave Assembly Square Orthopedic Center Somerville MA 02145-1102 |
| Practice Telephone | 6176651566 |
| Mailing Telephone | 6176651566 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA4765 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | CPA00648 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 MIDDLESEX AVE ASSEMBLY SQUARE ORTHOPEDIC CENTER |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770138893 | Aleah Rose Carvotta | Registered Nurse | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2019-08-06 |
| 1376034223 | Kseniya Naturina Fenner | Speech-Language Pathologist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2018-05-27 |
| 1730684796 | Meghan Heydt | Speech-Language Pathologist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2018-03-29 |
| 1568979011 | Jennifer Vidal | Speech-Language Pathologist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2018-01-05 |
| 1922510122 | Adriana Cristina Soro Isaac | Physical Therapy Assistant | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-10-27 |
| 1023541042 | Lianne Lucontoni | Registered Nurse | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-04-06 |
| 1194265330 | Meagan Doherty | Speech-Language Pathologist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-03-07 |
| 1013454016 | Rita Onyero Agholor | Nurse Practitioner | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2017-01-27 |
| 1689118762 | Caitlin Leonard | Physical Therapy Assistant | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2016-12-08 |
| 1518418540 | Katherine Frances Baratta | Physical Therapist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2016-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1891319315 | Taylor Lewis | Physician Assistant | 333 Great River Rd Apt 407, Somerville, MA 02145-1222 | 2020-06-01 |
| 1891318358 | Alexandra Brett Millard | Physician Assistant | 12 Linden Pl, Somerville, MA 02143-2256 | 2020-05-19 |
| 1972140572 | Hannah Kathryn Stackpole | Physician Assistant | 44 Russell Rd Apt 1, Somerville, MA 02144-1514 | 2019-12-03 |
| 1376098483 | Jon Michael Champagne | Physician Assistant | 30 Avon St, Apt 1, Somerville, MA 02143-1602 | 2016-08-18 |
| 1003288572 | Claire Wan | Physician Assistant | 57 Montrose St # 1, Somerville, MA 02143-1212 | 2015-10-23 |
| 1518108067 | Lauren Douglas | Physician Assistant | 600 Memory Ln, Somerville, TX 77879 | 2009-03-12 |
| 1255375044 | Jean Jorgensen | Physician Assistant | Somerset Medical Center, 110 Rehill Avenue, Somerville, NJ 08876 | 2006-06-15 |
| 1225095607 | Jason R Jannicelli | Physician Assistant | 110 Rehill Ave # 08876, Somerville, NJ 08876-2519 | 2006-04-28 |
| 1821621202 | Salma Haj-ibrahim | Physician Assistant | 56 Union Ave, Somerville, NJ 08876-2000 | 2020-02-13 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.