Provider Demographics
NPI:1336256601
Name:CAWTHON, THOMAS HILTON (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:HILTON
Last Name:CAWTHON
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 1:1722 PINE ST
Mailing Address - Street 2:SUITE 804
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1103
Mailing Address - Country:US
Mailing Address - Phone:334-834-7221
Mailing Address - Fax:334-241-9848
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:SUITE 804
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1103
Practice Address - Country:US
Practice Address - Phone:334-834-7221
Practice Address - Fax:334-241-9848
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00007793207Y00000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0004264958OtherAETNA
AL630755234OtherGUARDIAN
AL630755234OtherGEHA
AL630755234OtherGREAT WEST
AL630755234OtherCIGNA
AL000001076Medicaid
AL630755234OtherUNITED HEALTHCARE
AL630755234OtherHUMANA
ALC71179OtherSENORS FIRST
AL630755234OtherMAIL HANDLERS
AL040010868OtherRAILROAD MEDICARE
AL51001076OtherBCBS
AL630755234OtherMAIL HANDLERS
AL51001076OtherBCBS