Individual provider Active NPI

Thomas A Pullig, MD

  • Family Medicine Physician
  • Hot Springs Village, AR
National Provider Identifier
1952301343
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C4522 Issued in AR
Practice address
4419 N Highway 7 Ste 200
Hot Springs Village, AR 71909-9301
Phone
(501) 922-2217
Fax
(501) 922-4216
NPI assigned
Jul 28, 2005
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C4522 AR Primary

Addresses

Primary practice location

4419 N Highway 7 Ste 200
Hot Springs Village, AR 71909-9301

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 922-2217

Other identifiers 1

IdentifierTypeStateIssuer
103201001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000172 AR Practitioner - Family Practice 3274531975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C4522ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC CurrentSince Jun 1, 2009 Accepting new patients
Saline Clinics LLC Family Medicine Past Accepting new patients

Locations

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

121 Cordoba Center Dr
Hot Springs Village, AR 71909
Phone (501) 915-0837

121 Cordoba Center Dr
Ste 400
Hot Springs Village, AR 71909
Phone (501) 915-0837

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1952301343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-922-2217",
            "fax_number": "501-922-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 N HIGHWAY 7 STE 200",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719099301",
            "telephone_number": "501-922-2217",
            "fax_number": "501-922-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIG",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103201001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.