Thomas McConnell McCutchen Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15774 Issued in NC

Practice address

413 Owen Dr
Suite 201
Fayetteville, NC 28304-3489

Phone

(910) 303-2091

NPI assigned

Oct 3, 2012

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 1, 2012 through Aug 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1366794109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 BRECHIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034905",
            "telephone_number": "910-303-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 OWEN DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043489",
            "telephone_number": "910-303-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEN",
        "first_name": "THOMAS",
        "middle_name": "MCCONNELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "15774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annye G McCullough
• Daniel Grant McCullough, M.D.
• Lihan Marie McCullough
• Mischella McCurtain
• Wenda E McCutchan, M.D.
• Toosdhi Marquette McDaniel-Simmons, PRACTICAL NURSE
• John Anderson McDaniel II, D.D.S.
• Ronald Keith McDaniel Sr., LCSW
• Thomas Garrett McDaniel, D.D.S.
• Ashley McDonald, PHARM D

• Specialist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.