Healthcare Provider Details

I. General information

NPI: 1154525145
Provider Name (Legal Business Name): THOMAS W IRVINE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 TER HEUN DR
FALMOUTH MA
02540-2533
US

IV. Provider business mailing address

10 BRAMBLE BUSH DR
FALMOUTH MA
02540-2325
US

V. Phone/Fax

Practice location:
  • Phone: 508-548-2402
  • Fax: 508-540-2235
Mailing address:
  • Phone: 508-548-2402
  • Fax: 508-540-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS W IRVINE
Title or Position: OWNER
Credential: MD
Phone: 508-457-7922