| Thomas Doohan, | |
|
413 Running Horse Ln, Waxhaw, NC 28173-7232 | |
| (704) 999-0275 | |
| Not Available |
| Full Name | Thomas Doohan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 413 Running Horse Ln, Waxhaw, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700811858 | NPI | - | NPPES |
| PENDING | Other | NC | BCBS PROVIDER NUMBER |
| PENDING | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2006-00826 (North Carolina) | Primary |
| 208D00000X | General Practice | 2006-00826 (North Carolina) | Secondary |
| Entity Name | The Carolinas Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Ani Neurology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457530057 PECOS PAC ID: 8022188549 Enrollment ID: O20080617000645 |
| Entity Name | Western Carolina Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134391758 PECOS PAC ID: 8921171190 Enrollment ID: O20080721000746 |
| Entity Name | Gastonia Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316367691 PECOS PAC ID: 3870719602 Enrollment ID: O20140730002523 |
| Entity Name | Ballantyne Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164052726 PECOS PAC ID: 8123459898 Enrollment ID: O20200513000736 |
| Entity Name | Stallings Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235728031 PECOS PAC ID: 2769870971 Enrollment ID: O20211020002403 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Doohan, 413 Running Horse Ln, Waxhaw, NC 28173-7232 Ph: (704) 999-0275 | Thomas Doohan, 413 Running Horse Ln, Waxhaw, NC 28173-7232 Ph: (704) 999-0275 |