Individual provider Active NPI

Thomas M Aycock, MD

  • Surgery Physician
  • Marlin, TX
National Provider Identifier
1720066566
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D3139 Issued in TX
Practice address
322 Coleman St
Marlin, TX 76661-2358
Phone
(254) 803-3561
Fax
(254) 883-6066
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D3139 TX Primary

Addresses

Primary practice location

322 Coleman St
Marlin, TX 76661-2358

Mailing address

PO Box 60
Marlin, TX 76661-0060
Phone (254) 803-3561

Other identifiers 2

IdentifierTypeStateIssuer
0316614-02MedicaidTX
8W0854OtherTXBC/BS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050908001065 TX Practitioner - General Surgery 7719919836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D3139TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Hospital District CurrentSince Sep 15, 2017 Accepting new patients
Hamilton County Hospital District CurrentSince Sep 15, 2017 Accepting new patients
Maryam Raza MD PA PastSince Aug 23, 2020 Accepting new patients
DFW Wound & Hyperbarics, P.a. Past Accepting new patients
DFW Wound & Hyperbarics, P.a. Past Accepting new patients
East Coast Wound Care P C Past Accepting new patients

Locations

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1720066566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766610060",
            "telephone_number": "254-803-3561",
            "fax_number": "254-883-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COLEMAN ST",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612358",
            "telephone_number": "254-803-3561",
            "fax_number": "254-883-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYCOCK",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D3139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0316614-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "8W0854",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlin, TX

Sources for this page

Verify at the official NPI Registry.