Individual
MR. THOMAS HARDY MASSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Mailing address
17 WINDRUSH DR NW, ROME, GA 30165-4501
(815) 624-0415
(240) 218-4523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2103-023
WI
363A00000X
Physician Assistant
Primary
2103-23
WI
363AS0400X
Surgical Physician Assistant
002188
GA
363AS0400X
Surgical Physician Assistant
085-002212
IL
363AS0400X
Surgical Physician Assistant
110001383
VA
363AS0400X
Surgical Physician Assistant
16833-1
NY
363AS0400X
Surgical Physician Assistant
2103-023
WI
363AS0400X
Surgical Physician Assistant
MA055679
PA
363AS0400X
Surgical Physician Assistant
N008330
MD
363AS0400X
Surgical Physician Assistant
PA-3387
CO
363AS0400X
Surgical Physician Assistant
PA1898
FL
363AS0400X
Surgical Physician Assistant
PA22229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992834345
—
WI
Enumeration date
03/03/2007
Last updated
12/10/2020
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