Thomas F McCloskey, DPM
Individual provider Active NPI Podiatrist · Tyler, TX
NPI 1851399331 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1851399331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 988 (TX)
- Practice address
- 1318 Clinic Dr
Tyler, TX 75701-2119 - Phone
- (903) 597-9622
- Fax
- (903) 597-1210
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
Quitman Hospital LLC
Practice addresses (Care Compare)
1000 E 5TH St
Suite 300
Tyler, TX 75701-3333
Phone (903) 590-5080
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611
117 N Winnsboro St
Quitman, TX 75783-2144
Phone (903) 763-6220
18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292
701 Olympic Plaza Cir
Tyler, TX 75701-1950
Phone (903) 531-8109
Hospital & facility affiliations
- Ut Health East Texas Tyler Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 61 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100106000116 | TX | Practitioner - Podiatry | 7618018193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 988 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
1000 E 5th St
Ste 400
Tyler, TX 75701
Phone (903) 593-1749
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
1000 E 5th St
Ste 100
Tyler, TX 75701
Phone (903) 590-5000
901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418
1318 Clinic Dr
Tyler, TX 75701
Phone (903) 595-2858
Interoperability endpoints
- tmccloskey355787@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 988 | TX | Yes |
| Foot Surgery Podiatrist | 213ES0131X | 0988 | TX |
Addresses
Primary practice location
1318 Clinic Dr
Tyler, TX 75701-2119
Mailing address
1318 Clinic Dr
Tyler, TX 75701-2119
Phone (903) 597-9622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8229288 | Other | BCBS BLUE LINK |
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.