THOMAS H MULLICAN (NPI# 1750472502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750472502 |
| Entity Type | Individual |
| Full Name | THOMAS H MULLICAN |
| Credential | PA-C |
| Practice Address |
1942 Al Highway 157 Cullman Regional Orthopedics and Sports Medicine, P.C. Cullman AL 35058-0609 |
| Practice Telephone | 2567375115 |
| Practice Fax Number | 2567375003 |
| Mailing Telephone | 2567375115 |
| Mailing Fax Number | 2567375003 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
T1616 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | P00368354 | 01 |
| Street Address |
1942 AL HIGHWAY 157 CULLMAN REGIONAL ORTHOPEDICS AND SPORTS MEDICINE, P.C. |
| City | CULLMAN |
| State | AL |
| Zip Code | 35058-0609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831136316 | Denise Elaine Gardner | Nurse Practitioner | 1942 Al Highway 157, Cullman, AL 35058-0609 | 2006-06-01 |
| 1326583493 | Katie Basch | Nurse Practitioner | 1942 Al Highway 157, Cullman, AL 35058-0609 | 2016-12-28 |
| 1801838032 | David J Dueland | Orthopaedic Surgery | 1942 Al Highway 157, Cullman, AL 35058-0609 | 2006-06-12 |
| 1578505426 | Ben A Gomez | Orthopaedic Surgery | 1942 Al Highway 157, Cullman, AL 35058-0609 | 2006-06-12 |
| 1528006996 | Cullman Regional Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1942 Al Highway 157, Cullman, AL 35058-0609 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
| 1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
| 1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
| 1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
| Find all providers in zip 35058 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771183 | Sarah Elizabeth Sloop | Physician Assistant | 4300 W Main St Ste 24, Dothan, AL 36305-1312 | 2018-12-16 |
| 1053887885 | Rachel B Rigsby | Physician Assistant | 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 | 2018-10-19 |
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1255815908 | Cora Kuhns | Physician Assistant | 6401 Jordan Rd Suite A, Daphne, AL 36526-4728 | 2018-09-19 |
| 1396282026 | Travis Blackburn | Physician Assistant | 200 Montgomery Hwy Ste 125, Vestavia, AL 35216-1840 | 2017-01-19 |
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1255738605 | James Cilimberg | Physician Assistant | 2871 Acton Rd, Suite 100, Vestavia, AL 35243-2559 | 2014-12-01 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1740583780 | University Orthopaedic Clinic, PC | Physician Assistant | 1732 Temple Ave N, Fayette, AL 35555-1321 | 2010-12-14 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
| 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.