Individual provider Active NPI

Thomas Carrino, P.A.

  • Medical Physician Assistant
  • Greeneville, TN
National Provider Identifier
1871541250
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0867 Issued in TN
Practice address
1410 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-5821
Phone
(423) 638-1291
Fax
(423) 638-9398
NPI assigned
May 5, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0867 TN Primary

Addresses

Primary practice location

1410 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-5821

Mailing address

1410 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-5821
Phone (423) 638-1291

Other identifiers 1

IdentifierTypeStateIssuer
3373004MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708000496 TN Practitioner - Physician Assistant 1951596659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greeneville Ear, Nose and Throat Specialists, MpllcGroup PAC ID 4385607126, 4 clinicians

Practice addresses (Care Compare)

1410 Tusculum Blvd
Greeneville, TN 37745-5821
Phone (423) 638-1291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
867TNMDFoot & Ankle Surgery Podiatrist
0867TNMDMedical Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1871541250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455821",
            "telephone_number": "423-638-1291",
            "fax_number": "423-638-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455821",
            "telephone_number": "423-638-1291",
            "fax_number": "423-638-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINO",
        "first_name": "THOMAS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "0867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.