MEDICARE: THOMAS DURICK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	35.139145	VA

General Provider Information

NPI Number	:	1194794628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS DURICK M.D.

Provider Business Mailing Address
First Line	:	828 HEALTHY WAY STE 115
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7958
Country	:	US
Telephone Number	:	757-495-8070
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 HEALTHY WAY STE 115
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7958
Country	:	US
Telephone Number	:	757-495-8070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	05/27/2026

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