Individual provider Active NPI

Thomas J McLarney, MD

  • Family Medicine Physician
  • Middletown, CT
National Provider Identifier
1033178496
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
029483 Issued in CT
Practice address
327 High St
Davison Health Center
Middletown, CT 06459-3232
Phone
(860) 685-2470
Fax
(860) 685-2471
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 029483 CT
Family Medicine Physician 207Q00000X 029483 CT Primary

Addresses

Primary practice location

327 High St
Davison Health Center
Middletown, CT 06459-3232

Mailing address

327 High St
Davison Health Center
Middletown, CT 06459-3232
Phone (860) 685-2470

Other identifiers 3

IdentifierTypeStateIssuer
004236164MedicaidCT
010029483CT04OtherCTBCBS
294830OtherCTCTC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
029483CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Intercommunity, Inc. Current Accepting new patients
Wesleyan University - Davison Health Center Past Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1033178496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 HIGH ST",
            "address_2": "DAVISON HEALTH CENTER",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064593232",
            "telephone_number": "860-685-2470",
            "fax_number": "860-685-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HIGH ST",
            "address_2": "DAVISON HEALTH CENTER",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064593232",
            "telephone_number": "860-685-2470",
            "fax_number": "860-685-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLARNEY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "029483",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "029483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236164",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010029483CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTC",
            "identifier": "294830",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.