Thomas Jackson Pulliam, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD60730018 Issued in WA

Practice address

6101 Summitview Ave Ste 200
Yakima, WA 98908-3028

Phone

(509) 902-8857

Fax

(509) 902-8855

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.pulliam.3@4690.direct.athenahealth.com

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

• SCL Health Medical Group - Billings LLC

  • Clinic/Center
  • Billings, MT
  • NPI 1508289703
  NPD
• Reidsville Community Physicians Inc

  • Orthopaedic Surgery Physician
  • Reidsville, NC
  • NPI 1699711572

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1205898103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W NOB HILL BLVD APT 353",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083668",
            "telephone_number": "910-638-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 SUMMITVIEW AVE STE 200",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083028",
            "telephone_number": "509-902-8857",
            "fax_number": "509-902-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "THOMAS",
        "middle_name": "JACKSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60730018",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60730018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Pruiett, DMD
• Christine Annette Pryor, CDP, MSW, MAR, MHSC
• Candace Pryse, PHARMACIST B.S.
• Angeles S Pulido, R.N.
• Raquel Pulido, CDPT
• Candace Purcell
• Jackie Lianne Purcell, M.S.
• James Purcell
• Anne Marie Purdom, PTA
• Aaron C Purtzer

• Gastroenterology Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.