JASON LEE THARPE


Address: 194 Howard St, New London, CT 06320-5544
Phone: 8604420564

JASON LEE THARPE (NPI# 1255371217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255371217
Entity Type Individual
Full Name JASON LEE THARPE
Credential PAC
Practice Address 194 Howard St
New London
CT 06320-5544
Mailing Address Po Box 759047
Baltimore
MD 21275-9047
Practice Telephone 8604420564
Mailing Telephone 8049685700
Enumeration Date 2006-06-07
Last Update Date 2020-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant C0002995 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3027 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
995 Hospitality Way, Aberdeen, MD 210011755 4103067880 4103067881

Other Providers JASON THARPE

NPI Name Taxonomy Address Enumeration
1659636488 Jason Tharpe Physician Assistant 1015 W Centerville Rd, Garland, TX 75041-5914 2012-07-09
1124173125 Jason Prentice Tharpe Chiropractor 100 Covey Drive, Suite 302, Franklin, TN 37067-3029 2007-01-23

Office Location

Street Address 194 HOWARD ST
City NEW LONDON
State CT
Zip Code 06320-5544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811401847 Virginie Eklund Advanced Practice Midwife 194 Howard St, New London, CT 06320-5544 2017-11-29
1093224891 Angela N Thomas Nurse Practitioner 194 Howard St, New London, CT 06320-5544 2017-09-25
1750744546 Maureen Leach Nurse Practitioner 194 Howard St, New London, CT 06320-5544 2016-03-30
1437519444 Kajanan Jana Kukan Family Medicine 194 Howard St, New London, CT 06320 2016-03-03
1740655422 Kezia Meyer Nurse Practitioner 194 Howard St, New London, CT 06320 2015-12-07
1497156855 Gretchen Edstrom Registered Nurse 194 Howard St, New London, CT 06320-5544 2014-09-04
1164856035 Dania Alexa Wilson Nurse Practitioner 194 Howard St, New London, CT 06320-5544 2013-08-28
1437414083 Thomas Tokarz Physical Medicine & Rehabilitation 194 Howard St, New London, CT 06320-5544 2012-07-10
1790062768 Ellen Gingerella Physician Assistant 194 Howard St, New London, CT 06320-5544 2011-11-04
1821300807 Lisa A Licare Obstetrics & Gynecology 194 Howard St, New London, CT 06320-5544 2010-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558319194 Arthur S Welch Physician Assistant 50 Fair Harbour Pl, Suite 2-a, New London, CT 06320-4731 2006-05-05
1629074505 Jan Idzikowski Physician Assistant 273 County Rd, New London, NH 03257-5736 2005-06-24
1508429275 Marissa Ann Sylvester Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2019-04-18
1295213320 Kelsey Bestall Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2018-07-31
1669889481 Heather Nickerson Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2014-07-14
1669809927 L&m Medical Group Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2013-10-02
1699910489 Taryn Fabian Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2008-12-08
1669684205 Margo R. Coffey Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2007-05-04
1326182650 Juan C Delprado Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2007-02-19
1275696304 Marcelle Loranger Cashman Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2006-12-19
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Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

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.

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