Thomas W. Futrell,MD, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101058590 Issued in VA

Legal business name

THOMAS W. FUTRELL,MD, PC

Practice address

907 Goose Creek Rd
Suite 103
Fishersville, VA 22939-2352

Phone

(540) 213-2240

Fax

(540) 213-2242

NPI assigned

Nov 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Walter Futrell, M.D.

Title

President

Phone

(540) 213-2240

Specialties & licenses 1

Addresses

Other identifiers 8

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1134290703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 GOOSE CREEK RD",
            "address_2": "SUITE 103",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392352",
            "telephone_number": "540-213-2240",
            "fax_number": "540-213-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 GOOSE CREEK RD",
            "address_2": "SUITE 103",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392352",
            "telephone_number": "540-213-2240",
            "fax_number": "540-213-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. FUTRELL,MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "FUTRELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-213-2240",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101058590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006500056",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "259524",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "040017242",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2689876008",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DG6012",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "006500056",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "157902",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "24986",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.