Thomas E. Dooley, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0016458 Issued in MD

Legal business name

THOMAS E. DOOLEY, MD, PC

Practice address

17904 Georgia Ave
Suite #304
Olney, MD 20832-2239

Phone

(301) 924-2790

Fax

(301) 924-1631

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Thomas E Dooley, MD

Title

Physician/Owner

Phone

(301) 924-2790

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1396903266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE",
            "address_2": "SUITE #304",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322239",
            "telephone_number": "301-924-2790",
            "fax_number": "301-924-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE",
            "address_2": "SUITE #304",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322239",
            "telephone_number": "301-924-2790",
            "fax_number": "301-924-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. DOOLEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "301-924-2790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0016458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "875529",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04528011",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "9094 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "4050595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MARYLAND",
            "identifier": "309640 01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Olney, MD
• Providers in Olney, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.