Provider Demographics
NPI:1336148212
Name:LITTLE, THOMAS A (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:LITTLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 E WATER ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-1528
Mailing Address - Country:US
Mailing Address - Phone:717-549-2331
Mailing Address - Fax:
Practice Address - Street 1:371 E. WATER ST
Practice Address - Street 2:STE #2
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1732
Practice Address - Country:US
Practice Address - Phone:717-339-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066808L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA211082OtherJOHNS HOPKINS
PA1523790OtherGATEWAY-WMG
PA20064229OtherAMERIHEALTH MERCY-WMG
PA50070340OtherCAPITAL BLUE CROSS-WMG
PA7131929OtherAETNA
PA1302106OtherHIGHMARK BLUE SHIELD
PA2167387OtherMAMSI-WMG
MD610584OtherCAREFIRST MD BCBS
PA41062OtherGEISINGER
PA001856908Medicaid
PA212667OtherUNISON-WMG
PA41062OtherGEISINGER
PA1302106OtherHIGHMARK BLUE SHIELD
PA212667OtherUNISON-WMG