Individual provider Active NPI

Thomas H Mullican, PA-C

  • Surgical Physician Assistant
  • Cullman, AL
National Provider Identifier
1750472502
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
T1616 Issued in AL
Practice address
1942 Al Highway 157
Cullman Regional Orthopedics and Sports Medicine, P.C.
Cullman, AL 35058-0609
Phone
(256) 737-5115
Fax
(256) 737-5003
NPI assigned
Sep 27, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X T1616 AL Primary

Addresses

Primary practice location

1942 Al Highway 157
Cullman Regional Orthopedics and Sports Medicine, P.C.
Cullman, AL 35058-0609

Mailing address

1942 Al Highway 157
Cullman Regional Orthopedics and Sports Medicine, P.C.
Cullman, AL 35058-0609
Phone (256) 737-5115

Other identifiers 1

IdentifierTypeStateIssuer
P00368354OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000790 AL Practitioner - Physician Assistant 2860491354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Regional Orthopedics and Sports Medicine PCGroup PAC ID 8325095714, 4 clinicians

Practice addresses (Care Compare)

1942 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 737-5115

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
T1616ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical RTR LLC Past Accepting new patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1750472502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 AL HIGHWAY 157",
            "address_2": "CULLMAN REGIONAL ORTHOPEDICS AND SPORTS MEDICINE, P.C.",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-5115",
            "fax_number": "256-737-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 AL HIGHWAY 157",
            "address_2": "CULLMAN REGIONAL ORTHOPEDICS AND SPORTS MEDICINE, P.C.",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-5115",
            "fax_number": "256-737-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICAN",
        "first_name": "THOMAS",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "T1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00368354",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.