Thomas Howard Gulick, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD014274E Issued in PA

Practice address

175 E Brown St
Suite 204
East Stroudsburg, PA 18301-3098

Phone

(570) 424-7390

Fax

(570) 424-7395

NPI assigned

Jun 23, 2006

Last updated

Oct 27, 2014By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Family Care Centers Inc.

  dba Lehigh Valley Physician Group - Pocono

  • Internal Medicine Physician
  • E Stroudsburg, PA
  • NPI 1669563037
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1679509624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "address_2": "POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 204",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-424-7390",
            "fax_number": "570-424-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULICK",
        "first_name": "THOMAS",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD014274E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340012004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "814179",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HLTH",
            "identifier": "076420",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon Alexander Gringut, M.D.
• Katherine Lea Groover, OC
• Growing Roots Counseling, LLC
• Madison Lee Grube, RPH
• Eliode Guillaume
• Anil Gupta, M.D.
• Jessica Anne Guy, D.M.D.
• Gabrielle Nicole Hahn, ATC
• Tracy Haidle
• Brooke Nicole Halfmann, DPT

• Urology Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.