DR. MARTIN L THOMLEY (NPI# 1679558357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679558357 |
| Entity Type | Individual |
| Full Name | DR. MARTIN L THOMLEY |
| Credential | MD |
| Practice Address |
109 Millsaps Dr Ste B Hattiesburg MS 39402-1587 |
| Mailing Address |
109 Millsaps Dr Ste B Hattiesburg MS 39402-1587 |
| Practice Telephone | 6012550736 |
| Practice Fax Number | 6012550735 |
| Mailing Telephone | 6012550736 |
| Mailing Fax Number | 6012550735 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 28079 | MS | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 17963 | AL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
28079 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | UNITED HEALTH CARE | 0800277 | 01 |
| AL | 529403900 | 05 | |
| AL | BLUE CROSS | 05713 | 01 |
| AL | HEALTH SPRING | F55089 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 18th St S, Suite 707, Birmingham, AL 352331856 | 2053297100 | 2053297101 |
| Street Address |
109 MILLSAPS DR STE B |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588109821 | Retina Specialists of Mississippi, Pllc | Ophthalmology | 109 Millsaps Dr Ste B, Hattiesburg, MS 39402-1587 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225449317 | David Kilpatrick | Ophthalmology | 1200 N State St Ste 300, Jackson, MS 39202-2027 | 2014-05-12 |
| 1255974309 | Retina Institute of Mississippi | Ophthalmology | 971 Lakeland Dr Ste 657, Jackson, MS 39216-4608 | 2019-10-22 |
| 1427511880 | Deep Blue Retina, Pllc | Ophthalmology | 7900 Airways Blvd Bldg A1, Southaven, MS 38671-4116 | 2019-04-11 |
| 1962780023 | Brian C. Tieu | Ophthalmology | 2500 N State St, Jackson, MS 39216-4500 | 2011-07-22 |
| 1669760385 | Albert L. Lin | Ophthalmology | 2500 N State St, Jackson, MS 39216 | 2011-07-14 |
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on DR. MARTIN L THOMLEY.
| 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.