MEDICARE: MR. THOMAS ALLEN SULT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	37054	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	169318P539	OTHER	MN	UCARE
2	1770646937	OTHER	MN	UNICARE
3	1770646937	OTHER	MN	PREFERRED ONE
4	31T18IN	OTHER	MN	BCBS
5	031216004	OTHER	MN	PRIME WEST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	01-09668	OTHER	MN	MEDICA
8	1770646937	OTHER	MN	AETNA
9	1770646937	OTHER	MN	HUMANA
10	1770646937	OTHER	MN	SELECT CARE
11	HP11557	OTHER	MN	HEALTH PARTNERS
12	1770646937	OTHER	MN	TRICARE
13	110486P539	OTHER	MN	UCARE
14	1770646937	OTHER	MN	MMSI
15	31T18IN	OTHER	MN	CCS
16	376SISU	OTHER	MN	BLUE CROSS BLUE SHEILD
17	9823046	OTHER	MN	MEDICA
18	MR143-1001629	OTHER	MN	PREFERRED ONE
19	1219767	OTHER	MN	ARAZ
20	1770646937	OTHER	MN	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1487651311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS ALLEN SULT MD

Provider Business Mailing Address
First Line	:	PO BOX 607
Second Line	:
City	:	NEW LONDON
State	:	MN
Zip	:	56273-0607
Country	:	US
Telephone Number	:	320-347-1212
Fax Number	:	320-347-1200

Provider Business Practice Location Address
First Line	:	7900 CHAPIN DR NE
Second Line	:
City	:	NEW LONDON
State	:	MN
Zip	:	56273-8538
Country	:	US
Telephone Number	:	320-347-1212
Fax Number	:	320-347-1200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/11/2015

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1780992719 — 3RD OPINION CO.
Practice Location Address:

7900 CHAPIN DR NE
NEW LONDON, MN
56273-8538

Practice Phone: 320-347-1212
Practice Fax: 320-347-1200

1366435091 — DR. DONALD MICHAEL ZIESKE D.C.
Practice Location Address:

17 ASH ST NE
NEW LONDON, MN
56273-9567

Practice Phone: 320-354-4793
Practice Fax: 320-354-4793

1841288289 — LIVING SERVICES FOUNDATION/NEW LONDON, LLC
Practice Location Address:

100 GLENOAKS DR
NEW LONDON, MN
56273-9580

Practice Phone: 320-354-2231
Practice Fax: 320-354-2060

1609842335 — DR. RICHARD A WEHSELER MD
Practice Location Address:

600 PETERSON PKWY
NEW LONDON, MN
56273-7823

Practice Phone: 320-354-2222
Practice Fax: 320-354-2274

1508832809 — DR. TERRY M PETERSON MD
Practice Location Address:

600 PETERSON PKWY
NEW LONDON, MN
56273-7823

Practice Phone: 320-354-2222
Practice Fax: 320-354-2274

Directions to “ MR. THOMAS ALLEN SULT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.