Thomas Andrew Gulick, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

014119 Issued in LA

Practice address

312 Grammont Street;
Suite 402
Monroe, LA 71201

Phone

(318) 966-6550

Fax

(318) 966-6551

NPI assigned

Jun 29, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Orthopaedic Clinic of Monroe

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Monroe, LA
  • NPI 1003337478
  NPD (past)
• St Francis Medical Center, Inc

  • Rehabilitation Hospital Unit
  • Monroe, LA
  • NPI 1013906239
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1770511669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT STREET;",
            "address_2": "SUITE 402",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-966-6550",
            "fax_number": "318-966-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT STREET;",
            "address_2": "SUITE 402",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-966-6550",
            "fax_number": "318-966-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULICK",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "014119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154275001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326968",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clint C Guillory, MD
• John Toben Guillory, OT
• Guillory'S Therapy Clinic, Inc.
• Jamie Lynn Putnam Guillot, ACNPC-AG
• Mallorie Guillot
• Aruna Gullapalli, MD
• Vikas Gullapalli, MD
• Thomas James Gullatt, MD
• Danielle Leigh Gullette, APRN, FNP-C
• Dianna Guntharp, NNP

• Neurology Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Neurology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.