Active NPI
Thomas Michael Doolin, PA-C
- Physician Assistant
- Amsterdam, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004415-1
- Practice address
- 4988 State Highway 30
Amsterdam, NY 12010-7520 - Phone
- (518) 841-3580
- NPI assigned
- Feb 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004415-1 | NY | Primary |
Addresses
Primary practice location
4988 State Highway 30
Amsterdam, NY 12010-7520
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Albany Medical College of Union University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cooley HTS
Delanson, NY 12053-2442
Phone (518) 895-2000
111 Barton Hill Rd
Schoharie, NY 12157-4806
Phone (518) 295-8521
136 Pkwy Dr
Cobleskill, NY 12043-5150
Phone (518) 234-2555
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456
Hospital & facility affiliations
- HCR / HCR Home Care Chha (Oneonta)
- At Home Care Inc Chha
- Helios Care
- Cobleskill Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004415 | NY | MD | Mental Health Counselor |
| 4415 | NY | MD | Clinical Psychologist |
| 004415-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Community Care Physicians, PLLC | Past | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients | |
| Island Medical Empire State, PLLC | Physician Assistant | Past | Accepting new patients |
Locations
136 Parkway Dr
Cobleskill, NY 12043
Phone (518) 234-2555
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
99 E State St
Gloversville, NY 12078
Phone (518) 773-5690
1 Norton Ave
Oneonta, NY 13820
Phone (607) 431-5003
111 Barton Hill Rd
Schoharie, NY 12157
Phone (518) 295-8521
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Occupational Medicine Clinic/Center
- Rochester, NY
- NPI 1275851818
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
- Family Medicine Physician
- Ballston Spa, NY
- NPI 1548541246
-
- Emergency Medicine Physician
- Oneonta, NY
- NPI 1053623041
Physician Assistant
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oneonta, NY
- NPI 1003819806
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1689741985
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
- Community Based Hospice Care Agency
- Oneonta, NY
- NPI 1558353680
-
- Home Health Agency
- Oneonta, NY
- NPI 1033481932
-
- Home Health Agency
- Oneonta, NY
- NPI 1649575549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1043347784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4988 STATE HIGHWAY 30",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-841-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLIN",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004415-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.