Thomas M Poothullil (NPI# 1730220815, PAC ID# 8123150885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1730220815 |
| PAC ID by PECOS | 8123150885 |
| Professional Enrollment ID | I20100715000167 |
| Full Name | Thomas M Poothullil |
| Address |
2330 E Pass Rd Suite 3 Gulfport MS 39507-3817 |
| Phone Number | 2288967336 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250123 | GARDEN PARK MEDICAL CENTER |
| 250007 | MERIT HEALTH BILOXI |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| Address | Phone | Organization |
|---|---|---|
| 2330 E Pass Rd, Suite 3, Gulfport, MS 39507-3817 | 2288967336 | |
| 2330 E Pass Rd, Gulfport, MS 39507-3817 | 2288967336 |
| Street Address |
2330 E PASS RD SUITE 3 |
| City | GULFPORT |
| State | MS |
| Zip | 39507-3817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Frederick Kutner | Psychiatry | Acadian Care LLC | 625 16th St, Unit C, Gulfport, MS 39507-1302 |
| Daniel Q Richardson | Plastic and Reconstructive Surgery | 390 Courthouse Rd, Gulfport, MS 39507-1807 | |
| Theresa Robinson | Physical Therapy | Encore Rehabilitation Inc | 334 Courthouse Rd, Gulfport, MS 39507-1807 |
| Rebecca Davis | Occupational Therapy | Encore Rehabilitation Inc | 334 Courthouse Rd, Gulfport, MS 39507-1807 |
| Joannie E Evans | Nurse Practitioner | Mindful Matters | 368 Courthouse Rd, Suite D, Gulfport, MS 39507-1854 |
| Kimberly Rayborn | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Anne C Musgrove | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Jessica Coolidge | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Dimitrios J Dimitriades | Family Medicine | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Nkechi O Onyegasi | Nurse Practitioner | Memorial Hospital At Gulfport | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1866 |
| Find all physicians in zip 39507 | |||
| City | GULFPORT |
| Zip Code | 39507 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GULFPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Thomas M Poothullil.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.