Thomas Walter Irving, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

8971 Issued in AL

Practice address

3401 Medical Park Dr
BLDG 1 Ste 102
Mobile, AL 36693-3318

Phone

(251) 665-8060

Fax

(251) 665-8061

NPI assigned

May 17, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in AL

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: tirving16331@directinfirmaryhealth.org

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.

• Imc-Family Medical of Mobile, LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1952438160
  Medicare reassignment NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1942252846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HWY 90 SERVICE ROAD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36619",
            "telephone_number": "251-602-1667",
            "fax_number": "251-602-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MEDICAL PARK DR",
            "address_2": "BLDG 1 STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933318",
            "telephone_number": "251-665-8060",
            "fax_number": "251-665-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "THOMAS",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "8971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000015855",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051015855",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Lindsey Irion, PHD, PT, CWS
• Jean Marie Irion, EDD, PT, SCS, ATC
• Philip O'Neal Irions
• Lee Anna Irle, PHARMD
• Ralph Lee Irvin Jr., MD
• Dennis A. Irwin
• Diane S. Irwin, CRSS
• Isabine Inc.
• Daniel Francisco Isaza Pierotti
• Danielle Rachel Isen, D.O.

• General Practice Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.