Provider Demographics
NPI:1922088715
Name:MCHUGH, THOMAS ARTHUR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ARTHUR
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 LEE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0816
Mailing Address - Country:US
Mailing Address - Phone:434-982-0656
Mailing Address - Fax:
Practice Address - Street 1:1216 LEE STREET
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-982-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR56262163WG0000X
MA145038163WG0000X, 367500000X
CT002053367500000X
VA0024122991367500000X
MO144244367500000X, 163WG0000X
RIRNA36295367500000X
NCCCNA 036150367500000X
NY299390-1163WG0000X
RIRN36295163WG0000X
VA0001122991163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0970 60042Medicare ID - Type Unspecified