Individual provider Active NPI

Thomas P McBride, RPA C

  • Physician Assistant
  • Canton, NY
National Provider Identifier
1174515209
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008919-1 Issued in NY
Practice address
80 E Main St Ste 2a
Canton, NY 13617-1450
Phone
(157) 142-5593
Fax
(315) 386-3056
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008919-1 NY Primary

Addresses

Primary practice location

80 E Main St Ste 2a
Canton, NY 13617-1450

Mailing address

100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-7112
Phone (315) 870-9369

Other identifiers 1

IdentifierTypeStateIssuer
02506509MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416001412 NY Practitioner - Physician Assistant 0840285037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185

80 E Main St
Canton, NY 13617-1450
Phone (315) 714-2559

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008919NYMDNutritionist
008919-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Medical Professionals of Ny, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Associated Medical Professionals of Ny, PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

192 W Genesee St
Auburn, NY 13021
Phone (315) 258-5253

5700 W Genesee St
Ste 124
Camillus, NY 13031
Phone (315) 472-8841

80 E Main St
Ste 2A
Canton, NY 13617
Phone (315) 714-2559

4211 Medical Center Dr
Ste 211
Fayetteville, NY 13066
Phone (315) 329-0210

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

5100 W Taft Rd
Ste 4D
Liverpool, NY 13088
Phone (315) 452-2321

5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170

2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081

357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

Interoperability endpoints

  • Direct secure messaging: tmcbride@ampofny.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1174515209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR STE 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130887112",
            "telephone_number": "315-870-9369",
            "fax_number": "315-870-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E MAIN ST STE 2A",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171450",
            "telephone_number": "157-142-5593",
            "fax_number": "315-386-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RPA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008919-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02506509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.