Thomas Walter Futrell, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101058590 Issued in VA

Practice address

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

Phone

(540) 213-2240

Fax

(540) 213-2242

NPI assigned

Jan 16, 2006

Last updated

Jul 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas W. Futrell,MD, PC

  • Otolaryngology Physician
  • Fishersville, VA
  • NPI 1134290703
  Authorized official Same address or phone
• Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
  • NPI 1689780066
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1194704379",
    "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": {
        "last_name": "FUTRELL",
        "first_name": "THOMAS",
        "middle_name": "WALTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101058590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040017242",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "24986",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006500056",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK",
            "identifier": "371424479",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLAN",
            "identifier": "371424479",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "157902",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "259524",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "371424479",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "006500056",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "371424479",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2689876008",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• David E Fosnocht, MD
• Joseph James Freeze, AG-ACNP
• Pamela Ann Fuller, NNP
• Fuller's Orthopedic (Independence Prosthetics-Orthotics)
• Meghan E. Gaare, M.D.
• Randy A Gallagher, DO
• Brenna Gannon, PA-C
• John C. Garber Jr., PA-C
• Gwenalyn G. C. Garcia, MD

• 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.