Individual provider Active NPI

Thomas D McDermott, MD

  • Internal Medicine Physician
  • Eutaw, AL
National Provider Identifier
1356355374
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00009283 Issued in AL
Practice address
607 Wilson Ave
Eutaw, AL 35462-1136
Phone
(205) 372-1260
Fax
(205) 372-6145
NPI assigned
Jul 27, 2006
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00009283 AL Primary

Addresses

Primary practice location

607 Wilson Ave
Eutaw, AL 35462-1136

Mailing address

607 Wilson Ave
Eutaw, AL 35462-1136
Phone (205) 372-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000504 AL Practitioner - Internal Medicine 8820997125 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9283ALMDPharmacist
00009283ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Nov 25, 1996 Accepting new patients
DCH Healthcare Authority Internal Medicine Current Accepting new patients
Tuscaloosa Medical Associates Internal Medicine Current Accepting new patients
The DCH Healthcare Authority CurrentSince Nov 25, 1996 Accepting new patients

Locations

1325 McFarland Blvd
Ste 201
Northport, AL 35476
Phone (205) 330-8820

701 University Blvd E
Ste 711
Tuscaloosa, AL 35401
Phone (205) 345-2255

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1356355374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WILSON AVE",
            "city": "EUTAW",
            "state": "AL",
            "postal_code": "354621136",
            "telephone_number": "205-372-1260",
            "fax_number": "205-372-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WILSON AVE",
            "city": "EUTAW",
            "state": "AL",
            "postal_code": "354621136",
            "telephone_number": "205-372-1260",
            "fax_number": "205-372-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00009283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eutaw, AL

Sources for this page

Verify at the official NPI Registry.