Active NPI
Thomas Joseph Carrico, M.D.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Lynchburg, VA
National Provider Identifier
1386640266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 0101032447
- Practice address
- 3300 Rivermont Ave
Lynchburg, VA 24503-2030 - Phone
- (434) 947-1801
- NPI assigned
- Jun 24, 2005
- Last updated
- Mar 11, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101032447 | VA | |
| Surgery Physician | 208600000X | 0101032447 | VA | |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 0101032447 | VA | Primary |
Addresses
Primary practice location
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Mailing address
1204 Fenwick Dr
Lynchburg, VA 24502-2112
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186304 | Other | ANTHEM PROVIDER NUMBER | |
| 203639329006 | Other | TRICARE PROVIDER NUMBER | |
| 90402 | Other | SENTARA/OPTIMA PROVIDER N | |
| 329096 | Other | SOUTHERN HEALTH PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101032447 | VA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1386640266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 FENWICK DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 RIVERMONT AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032030",
"telephone_number": "434-947-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRICO",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101032447",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101032447",
"primary": false
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "VA",
"license": "0101032447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "186304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "203639329006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA PROVIDER N",
"identifier": "90402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH PROVIDER",
"identifier": "329096",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.