Individual provider Active NPI

Thomas F Carmen, MD

  • Family Medicine Physician
  • Wexford, PA
National Provider Identifier
1710042619
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD036826E Issued in PA
Practice address
1500 Village Run Road
Suite 308
Wexford, PA 15090
Phone
(724) 934-1900
Fax
(724) 934-3388
NPI assigned
Dec 22, 2006
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD036826E PA Primary

Addresses

Primary practice location

1500 Village Run Road
Suite 308
Wexford, PA 15090

Mailing address

1500 Village Run Rd
Suite 308
Wexford, PA 15090-6316
Phone (724) 934-1900

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

LicenseStateTypeSpecialty
MD036826EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas F Carmen, M.D. and Associates PastSince Jan 1, 1990 Accepting new patients
Thomas F Carmen Family Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1710042619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 VILLAGE RUN RD",
            "address_2": "SUITE 308",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906316",
            "telephone_number": "724-934-1900",
            "fax_number": "724-934-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 VILLAGE RUN ROAD",
            "address_2": "SUITE 308",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "724-934-1900",
            "fax_number": "724-934-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMEN",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD036826E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.