Phillip A Pullen, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS9141 Issued in FL

Practice address

8370 W Hillsborough Ave
Suite 103
Tampa, FL 33615-3898

Phone

(813) 302-1733

Fax

(813) 881-1801

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFFDAD

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.

• Brendon Connolly, MD PL

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1699013524
  NPD (past)
• Patrick J Grablin MD PA

  dba Grablin Orthopaedic Surgery

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1720053127
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1679575500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 W HILLSBOROUGH AVE",
            "address_2": "SUITE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153898",
            "telephone_number": "813-302-1733",
            "fax_number": "813-881-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W HILLSBOROUGH AVE",
            "address_2": "SUITE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153898",
            "telephone_number": "813-302-1733",
            "fax_number": "813-881-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS9141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FLORIDA",
            "identifier": "37616",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6007198002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7931531",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE/STAYWELL",
            "identifier": "270122",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian Catherine Pulido
• Melissa Pulido
• Daisy Baby Pulinilkumkalayil, ARNP
• Madhumathi Pullela, RPH
• Dee P Pullen, CLC, CHBPLC
• Todd Edward Pullen, LMHC
• Alfreida Pulliam
• Leotis Pulliam
• Thomas David Pulliam, DDS
• Mollie A Pullins, PHARMD,RPH

• Orthopaedic Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.