1336256601 NPI number — THOMAS HILTON CAWTHON M.D.

Table of content: THOMAS HILTON CAWTHON M.D. (NPI 1336256601)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336256601 NPI number — THOMAS HILTON CAWTHON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAWTHON
Provider First Name:
THOMAS
Provider Middle Name:
HILTON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336256601
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1722 PINE ST
Provider Second Line Business Mailing Address:
SUITE 804
Provider Business Mailing Address City Name:
MONTGOMERY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36106-1103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-834-7221
Provider Business Mailing Address Fax Number:
334-241-9848

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1722 PINE ST
Provider Second Line Business Practice Location Address:
SUITE 804
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36106-1103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-834-7221
Provider Business Practice Location Address Fax Number:
334-241-9848
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  00007793 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207YX0905X , with the licence number: 00007793 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0004264958 . This is a "AETNA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630755234 . This is a "GUARDIAN" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630755234 . This is a "GEHA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630755234 . This is a "GREAT WEST" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630755234 . This is a "CIGNA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000001076 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 630755234 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630755234 . This is a "HUMANA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: C71179 . This is a "SENORS FIRST" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630755234 . This is a "MAIL HANDLERS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 040010868 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51001076 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com