1396711669 NPI number — DR. THOMAS CURRAN MD

Table of content: DR. THOMAS CURRAN MD (NPI 1396711669)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396711669 NPI number — DR. THOMAS CURRAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CURRAN
Provider First Name:
THOMAS
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396711669
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
140 CANAL VIEW BLVD
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14623-2808
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-338-2700
Provider Business Mailing Address Fax Number:
585-242-9663

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 CANAL VIEW BLVD
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14623-2808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-338-2700
Provider Business Practice Location Address Fax Number:
585-242-9663
Provider Enumeration Date:
02/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207UN0901X , with the licence number:  203906 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 203906 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 325607 . This is a "WELLCARE (GRIPA)" identifier . This identifiers is of the category "OTHER".
  • Identifier: MDA942 . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: RC60203906 . This is a "RCIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0001395352 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000525793008 . This is a "HEALTH NOW (LINDEN)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 005257936 . This is a "COMMUNITY BLUE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01671374 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: PO10203906 . This is a "EXCELLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: PO10203906 . This is a "GRIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000525793006 . This is a "HEALTH NOW (PARNALL)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7701206 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3939 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 060035472 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5557403 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9685724 . This is a "GHI" identifier . This identifiers is of the category "OTHER".




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