Active NPI
Thomas J McLarney, MD
- Family Medicine Physician
- Middletown, CT
National Provider Identifier
1033178496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 029483
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236164 | Medicaid | CT | |
| 010029483CT04 | Other | CT | BCBS |
| 294830 | Other | CT | CTC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029483 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercommunity, Inc. | Current | 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.
-
- Primary Care Clinic/Center
- East Hartford, CT
- NPI 1073548533
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1962896548
-
- Student Health Clinic/Center
- Middletown, CT
- NPI 1457332736
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.