Thomas Fynan, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

030236 Issued in CT

Practice address

2080 Whitney Ave
Suite 240
Hamden, CT 06518-3600

Phone

(203) 407-8002

Fax

(203) 407-8038

NPI assigned

Jun 9, 2006

Last updated

Nov 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

• Direct secure messaging: thomasfynan@bfs.medalliesdirect.net

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.

• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment NPD
• Fairview Hospital

  dba East Mountain Medical

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138

  Hematology & Oncology

  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1598706582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUNAR DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252320",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE",
            "address_2": "SUITE 240",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183600",
            "telephone_number": "203-407-8002",
            "fax_number": "203-407-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYNAN",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "030236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001302364",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Fritz Jr., LO
• Sarah Frye, PHARMD
• Daniel Lee Fudge, PH.D.
• Carlee Fuller
• Casey J Fusco
• G.P. of Hamden, PC. (General Practitioners of Hamden)
• Beth Gaillard, LCSW
• Karen Galvin, PT/MPT
• Raymond J. Gambardella, DMD
• Taires Gamble

• Hematology & Oncology Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Hematology & Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.