Healthcare Provider Details

I. General information

NPI: 1184602369
Provider Name (Legal Business Name): THOMAS ARTHUR ALLINGHAM D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 S MAIN ST
CROSSVILLE TN
38555
US

IV. Provider business mailing address

421 S MAIN ST # 231
CROSSVILLE TN
38555-5048
US

V. Phone/Fax

Practice location:
  • Phone: 931-459-7367
  • Fax: 931-210-5039
Mailing address:
  • Phone: 931-459-7012
  • Fax: 931-210-5704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number98-00174
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD32379
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number20128
License Number StateMS
# 4
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number1776
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: