Provider Demographics
NPI:1972535334
Name:MCCROREY, THOMAS (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:MCCROREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18291 N PIMA RD STE 110-376
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5697
Mailing Address - Country:US
Mailing Address - Phone:775-624-4222
Mailing Address - Fax:
Practice Address - Street 1:8575 E PRINCESS DR STE 117
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5437
Practice Address - Country:US
Practice Address - Phone:480-496-2696
Practice Address - Fax:480-264-7012
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14501208600000X
AZ75746208D00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00263362OtherRR MEDICARE
AZQ00977543OtherRR MEDICARE
I45428Medicare UPIN