Thomas Jerome Devlin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0021488 Issued in MD

Practice address

783 Winchester Street
Paw Paw, WV 25434-0002

Phone

(304) 947-5500

Fax

(304) 947-5563

NPI assigned

Aug 25, 2006

Last updated

Jun 24, 2017By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11497/brand/1/csg/1/fhir/r4
• Direct secure messaging: thomas.devlin.1@11497.direct.athenahealth.com

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.

• Mountaineer Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Paw Paw, WV
  • NPI 1033299862
  Medicare reassignment NPD
• Patient Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Martinsburg, WV
  • NPI 1710313622
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498262400000",
    "number": "1457469900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150090457",
            "telephone_number": "304-947-5500",
            "fax_number": "304-947-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 WINCHESTER STREET",
            "city": "PAW PAW",
            "state": "WV",
            "postal_code": "254340002",
            "telephone_number": "304-947-5500",
            "fax_number": "304-947-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "THOMAS",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0021488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186511100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1377292",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Athey
• Tamela Benegar, LPN
• Megan Frances Brown, COTA/L
• Betsy Rose Colwell
• Dashelle Conard
• Krystal Dotterweich
• Ellen Dye
• Terrie Eversole
• Lisa Ann Groah
• Bessie Ann Heath

• Family Medicine Physician in Paw Paw, WV
• Providers in Paw Paw, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.