Thomas Stanford Eagan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1162791 Issued in NY

Practice address

215 County Highway 128
Gloversville, NY 12078-4806

Phone

(518) 773-7306

Fax

(518) 773-8511

NPI assigned

Oct 28, 2005

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 3

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992795090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COUNTY HIGHWAY 128",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120784806",
            "telephone_number": "518-773-7306",
            "fax_number": "518-773-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COUNTY HIGHWAY 128",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120784806",
            "telephone_number": "518-773-7306",
            "fax_number": "518-773-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "THOMAS",
        "middle_name": "STANFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1162791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "1162791",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00527239",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000420268001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Dunleavey
• Susan K Duross, NP
• Joseph A. Dutcher, CRNA
• Wendy L Dybas, RN
• Dominica Lee Dziedzic
• Jessica Lynne Eaton, LCSW
• Eckerd Corporation
• Edith H. Pryce, M.D.
• Kimberlee Edwards, PA
• Amanda Eggleston

• Orthopaedic Surgery Physician in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.