Provider Demographics
NPI:1184602369
Name:ALLINGHAM, THOMAS ARTHUR (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ARTHUR
Last Name:ALLINGHAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S MAIN ST # 231
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-5048
Mailing Address - Country:US
Mailing Address - Phone:931-459-7012
Mailing Address - Fax:931-210-5704
Practice Address - Street 1:421 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555
Practice Address - Country:US
Practice Address - Phone:931-459-7367
Practice Address - Fax:931-210-5039
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98-00174207LC0200X
DCMD32379207LC0200X
MS20128207LC0200X
TN1776207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3319901Medicaid
TN1031810112OtherMEDICARE
MS512I050080Medicare PIN