Thomas D McDermott, MD

Key facts

NPI

1356355374

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

00009283 (AL)

Practice address

607 Wilson Ave
Eutaw, AL 35462-1136

Phone

(205) 372-1260

Fax

(205) 372-6145

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• The DCH Healthcare Authority General Acute Care Hospital · Tuscaloosa, AL · NPI 1841394418
  Medicare reassignment NPD AL
• Tuscaloosa Medical Associates Internal Medicine Physician · Tuscaloosa, AL · NPI 1780746719
  NPD Authorized official INTERNAL MEDICINE
• DCH Healthcare Authority Hematology & Oncology Physician · Tuscaloosa, AL · NPI 1699019539
  NPD INTERNAL MEDICINE
• The DCH Health Care Authority Clinic/Center · Tuscaloosa, AL · NPI 1306613211
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 7, 2015.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167150",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000051551040",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51505225",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170752",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eutaw, AL

• Cheryl Hill, CRNP
• Carroll Belinda Hogue, CRNP
• Kurtizzia Carnealia Jones, CRNP
• Let'S Doula Thiss
• Janice McDermott, LCSW
• Jamil Ali Meloelain, MD
• Ameshia Shardea Merritt
• Mills Pharmacy at Eutaw LLC
• People Helping People Inc
• Solomon Drug Co., Inc.

All providers in Eutaw, AL · Internal Medicine Physician in Alabama