JOE MITCHELL TULLIS (NPI# 1891760864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891760864 |
| Entity Type | Individual |
| Full Name | JOE MITCHELL TULLIS |
| Credential | MD |
| Practice Address |
624 Hospital Dr Mountain Home AR 72653-2955 |
| Mailing Address |
Po Box 2008 Mountain Home AR 72654-2008 |
| Practice Telephone | 8704256322 |
| Practice Fax Number | 8704245859 |
| Mailing Telephone | 8704256322 |
| Mailing Fax Number | 8704245859 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R-2382 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101051001 | 05 |
| Street Address |
624 HOSPITAL DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296900 | Michael L Recktenwald | Pharmacist | 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 | 2005-09-26 |
| 1790308146 | Christopher Justin Robinson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-20 |
| 1164044665 | Jeffrey Dupre Jr. | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-07 |
| 1851924765 | Jordan Frey Eldridge | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-19 |
| 1588296586 | Amanda M Horne | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-07 |
| 1962976472 | Baxter County Regional Hospital, Inc | General Acute Care Hospital | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2019-01-17 |
| 1184127292 | Meagan Thitoff | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-03-15 |
| 1972002020 | Sarah Marie Eaton | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-02-05 |
| 1508364449 | Lacey Hlass | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-25 |
| 1881102192 | Elizabeth Ann Smithhart | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881857217 | Jacob Lloyd Benfield | Radiology | #1 Dogwood Lane, Dept of Radiology, Mountain Home, TN 37684 | 2008-07-07 |
| 1891710430 | Salman Qayum | Radiology | Sydney & Lamond St, James H Quillen Va Med Ctr, Mountain Home, TN 37684 | 2006-07-13 |
| 1548295421 | Michael Shane Whitlock | Radiology | 624 Hospital Dr. Rad. Dept., Mountain Home, AR 72653-2955 | 2006-07-11 |
| 1467418970 | Mountain Home Radiology Consultants | Radiology | 624 Hospital Dr Rad Dept., Mountain Home, AR 72653-2955 | 2006-04-24 |
| 1013056027 | Timothy Clay Brown | Radiology | 624 Hospital Dr, Radiology Dept., Mountain Home, AR 72653-2955 | 2007-02-06 |
| 1184699167 | William Lynn Landrum | Radiology | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2006-02-22 |
| 1578538575 | Matthew Baker Wilson | Radiology | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2006-02-22 |
| 1629043617 | Matthew Kyle Mcalister | Radiology | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2006-02-22 |
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| 1548813793 | Medcom Imaging, Inc. | Radiology | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-07-17 |
| 1750848552 | Tamesha Green | Radiology | 3204 Salinas De Hidalgo, North Little Rock, AR 72118-1167 | 2019-02-27 |
| 1598243560 | Medical Associates of Northwest Arkansas Pa | Radiology | 502 N Walnut St, Harrison, AR 72601-3616 | 2018-08-01 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1700211653 | Medical Associates of Northwest Arkansas Pa | Radiology | 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 | 2013-09-11 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.