Thomas M Pellino, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

27486 Issued in WI

Practice address

202 S Park St
4 Tower
Madison, WI 53715-1507

Phone

(608) 267-6676

NPI assigned

Jul 26, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1215937875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "address_2": "4 TOWER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-267-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "address_2": "4 TOWER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-267-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLINO",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "27486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30736400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peko Therapy LLC
• Laura Marie Peles, D.D.S.
• Shachar Peles, M.D.
• Brian Paul Pella
• Elaine M Pelley, M.D.
• Margaret Pelton, MS, LAT, ATC
• Jaime Alejandro Pena Garcia, MD
• Danielle Penaranda, LCSW
• Kelsey Penkal
• Cietta Victoria Penn, MS, MFT

• Anesthesiology Physician in Madison, WI
• Providers in Madison, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.