DR. THOMAS MULLIGAN (NPI# 1376583328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376583328 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MULLIGAN |
| Other Name | THOMAS MULLIGAN |
| Credential | MD |
| Practice Address |
303 E Matthews Ave Ste 202 Jonesboro AR 72401-3120 |
| Practice Telephone | 8702077555 |
| Practice Fax Number | 8703365083 |
| Mailing Telephone | 8702077555 |
| Mailing Fax Number | 8703365083 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
E5074 | AR | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME93118 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 272704800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134643356 | Thomas Mulligan | Physical Therapist | 401 Channelside Dr, Tampa, FL 33602-5400 | 2017-07-29 |
| 1861825317 | Thomas John Mulligan | Social Worker | 3923 Old Lee Hwy, Fairfax, VA 22030-2428 | 2013-08-19 |
| 1952467573 | Thomas G Mulligan | Ophthalmology | 7520 35th Ave Sw, Seattle, WA 98126 | 2006-12-28 |
| 1558429274 | Thomas Mulligan | Physical Therapist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2006-12-05 |
| Street Address |
303 E MATTHEWS AVE STE 202 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706188 | Raluca Cristina Rosca-sichitiu | Internal Medicine | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2005-08-10 |
| 1114534369 | Madison Birdno | Clinical Nurse Specialist | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2020-09-30 |
| 1942857065 | Virginia Robins | Nurse Practitioner | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2019-08-22 |
| 1841715547 | Kimberly Leigh Cooksey | Nurse Practitioner | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2017-08-03 |
| 1043660194 | Erin L Green | Nurse Practitioner | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2016-06-20 |
| 1326411232 | Kshitij Gupta | Internal Medicine | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2015-11-02 |
| 1538249602 | Linda M Tate | Clinical Nurse Specialist | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2006-10-16 |
| 1124048590 | Noreen Hasan | Internal Medicine | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706188 | Raluca Cristina Rosca-sichitiu | Internal Medicine | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2005-08-10 |
| 1326411232 | Kshitij Gupta | Internal Medicine | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2015-11-02 |
| 1124048590 | Noreen Hasan | Internal Medicine | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992239479 | Bushra Shah Md Pllc | Internal Medicine | 100 Vigne Dr, Little Rock, AR 72223-4581 | 2017-04-12 |
| 1245580539 | Geriatrics Consulting Services Ltd | Internal Medicine | 120 Dellmere Drive, Hot Springs, AR 71913 | 2012-09-13 |
| 1154443372 | Kalpana P Padala | Internal Medicine | 629 Jack Stephens Dr, Little Rock, AR 72205-5525 | 2007-04-06 |
| 1811059363 | Paula M. Podrazik | Internal Medicine | 4301 W. Markham, #783, Little Rock, AR 72205-7101 | 2006-12-14 |
| 1508956079 | David Lipschitz | Internal Medicine | 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 | 2006-10-13 |
| 1982711891 | Linda Hammond Williams | Internal Medicine | 2200 Fort Roots Dr # 111/nlr, North Little Rock, AR 72114-1709 | 2006-08-24 |
| 1740294032 | Maria Cristina M Judit | Internal Medicine | 4077 Elm Springs Rd, Springdale, AR 72762-3748 | 2006-07-29 |
| 1245268424 | Stephen R. Maes | Internal Medicine | 825 N Spring St, Suite F, Harrison, AR 72601-2942 | 2006-06-28 |
| 1407890213 | Crittenden Memorial Hospital | Internal Medicine | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2006-06-15 |
| 1497712640 | Jose Albert Ang Fontanilla Jr. | Internal Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3703 | 2006-04-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.