THOMAS S MULLALLY (NPI# 1629030879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629030879 |
| Entity Type | Individual |
| Full Name | THOMAS S MULLALLY |
| Credential | MD |
| Practice Address |
5525 E Peck Rd Croswell MI 48422 |
| Practice Telephone | 8106792950 |
| Practice Fax Number | 8106792960 |
| Mailing Telephone | 8106792950 |
| Mailing Fax Number | 8106792960 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | TM051015 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2695679 | 05 | |
| BCBSM | 0760069 | 01 |
| Street Address |
5525 E PECK RD |
| City | CROSWELL |
| State | MI |
| Zip Code | 48422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467414227 | Loretta A Mullally | General Practice | 5525 E Peck Rd, Croswell, MI 48422 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891720843 | James Patrick Ward | Dentist | 47 S Howard Ave, Croswell, MI 48422 | 2006-07-11 |
| 1417322348 | Angela Vallee | Dental Hygienist | 118 Wells St, Croswell, MI 48422-1142 | 2015-12-03 |
| 1477841021 | Sherri Metevier | Counselor | 51 Brown St Ste 6, Croswell, MI 48422-1159 | 2011-07-18 |
| 1245389352 | Jonathan Sison Del Rosario | Physical Therapist | 51 Brown St Ste 5, Croswell, MI 48422-1159 | 2007-01-09 |
| 1477580736 | Advantage Counseling and Educational Services, Inc. | Case Management | 51 Brown St, Suite 6, Croswell, MI 48422-1159 | 2006-06-26 |
| 1295990430 | Crystal Elaine Bell | Social Worker | 51 Brown St, Ste. 6, Croswell, MI 48422-1159 | 2008-07-28 |
| 1043479975 | Rebecca A Leipprandt | Social Worker | 51 Brown St, Ste. 6, Croswell, MI 48422-1159 | 2008-06-05 |
| 1275792103 | Joann Landosky | Social Worker | 51 Brown St, Ste. 6, Croswell, MI 48422-1159 | 2008-06-05 |
| 1811174675 | Richard Raymond Hug | Social Worker | 51 Brown St, Ste. 6, Croswell, MI 48422-1159 | 2008-01-23 |
| 1205026762 | Julia Ann Seaman | Social Worker | 51 Brown St, Suite 6, Croswell, MI 48422-1159 | 2007-07-30 |
| Find all providers in zip 48422 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.