Active NPI
Todd H Pullin, MD
- Pediatrics Physician
- Eunice, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 022507
- Practice address
- 301 N Martin Luther King Dr
Eunice, LA 70535-3644 - Phone
- (337) 550-1175
- Fax
- (337) 236-8073
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 022507 | LA | Primary |
Addresses
Primary practice location
301 N Martin Luther King Dr
Eunice, LA 70535-3644
Mailing address
301 N Martin Luther King Dr
Eunice, LA 70535-3644
Phone (337) 550-1175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1183709 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1634 Elton Rd
Jennings, LA 70546-3614
4647 W Cedar Lake Rd
Greenbush, MI 48738-9716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022507 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner American Legion Hospital LLC | Current | Accepting new patients | |
| Ochsner American Legion Hospital LLC | Current | Accepting new patients | |
| CLHG-Acadian LLC | Past | Accepting new patients | |
| Childrens Health Center, LLC | Pediatrics | Past | Accepting new patients |
| CLHG-Acadian, LLC | Past | Accepting new patients |
Locations
3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000
Interoperability endpoints
- todd.pullin.1@27785.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Ochsner American Legion Hospital
- Multi-Specialty Clinic/Center
- Jennings, LA
- NPI 1811630981
-
- Pediatrics Physician
- Eunice, LA
- NPI 1912165341
-
dba Ochsner Health Center - Lake Arthur
- Rural Health Clinic/Center
- Lake Arthur, LA
- NPI 1104576289
-
dba Ochsner Health Center - Welsh
- Internal Medicine Physician
- Welsh, LA
- NPI 1538819628
-
dba Church Point Medical Clinic by AMC
- Rural Health Clinic/Center
- Church Point, LA
- NPI 1043936164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366453037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N MARTIN LUTHER KING DR",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353644",
"telephone_number": "337-550-1175",
"fax_number": "337-236-8073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MARTIN LUTHER KING DR",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353644",
"telephone_number": "337-550-1175",
"fax_number": "337-236-8073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIN",
"first_name": "TODD",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "022507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1183709",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eunice, LA
- Picou's Drug Store Inc
- Positive Behavior Support
- Prevail Heart Clinic of Eunice, LLC
- Prevail Imaging, LLC
- Professional Intrathecal Management
- Andy Gerard Quebedeaux, M.D.
- Quit Smoking Louisiana LLC
- John Matthew Rainey, M.D.
- Veronica Lyons Randall
- Rapides Healthcare System, L.L.C. (Savoy Family Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.