Mark Tullos MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E3870 Issued in AR

Legal business name

MARK TULLOS MD PA

Practice address

1000 W Kingshighway
Ste 13
Paragould, AR 72450

Phone

(870) 239-5916

Fax

(870) 239-5916

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Mark A Tullos, MD

Title

Owner

Phone

(870) 239-5916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861464281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY",
            "address_2": "STE 13",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-239-5916",
            "fax_number": "870-239-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY",
            "address_2": "STE 13",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-239-5916",
            "fax_number": "870-239-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TULLOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TULLOS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-239-5916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E3870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacie Malone
• Kelly Kay Malone, ANP
• Misty Brooke Mangrum
• Monica Renaee Manis, QBHP
• Kevin Ryan Mann, DDS
• Kimberly Markum
• Charbel Maroun, M.D.
• Elizabeth Kathleen Marsden, MS, CF-SLP
• Shalisa Reshay Marshall
• Alexis Martin

• Surgery Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.