MEDICARE: DR. THOMAS E. MCCAY MD

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	208D00000X	General Practice Physician	MD09124	RI

General Provider Information

NPI Number	:	1528346731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS E. MCCAY MD

Provider Business Mailing Address
First Line	:	316 MOURNING DOVE DR
Second Line	:
City	:	SAUNDERSTOWN
State	:	RI
Zip	:	02874-2215
Country	:	US
Telephone Number	:	401-295-1678
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 TEN ROD RD UNIT B-210
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4163
Country	:	US
Telephone Number	:	401-294-8200
Fax Number	:	401-294-8222

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

Provider Enumeration Date	:	07/22/2011
Last Update Date	:	07/22/2011

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