Provider Demographics
NPI:1437112828
Name:MULLINS, THOMAS F (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:MULLINS
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 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-368-3150
Mailing Address - Fax:508-368-3152
Practice Address - Street 1:123 SUMMER STREET
Practice Address - Street 2:SUITE 230 S
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608
Practice Address - Country:US
Practice Address - Phone:508-368-3150
Practice Address - Fax:508-368-3152
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA381322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
784056OtherMVP HEALTH CARE
AA6082OtherHARVARD PILGRIM HEALTHCAR
042472266OtherPRIVATE HEALTHCARE SYSTEM
26838OtherHEALTHY START
3840138OtherAETNA US HEALTHCARE
N01796OtherBLUE SHIELD INDEMNITY
9900070OtherFALLON COMMUNITY HEALTH P
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherONE HEALTH PLAN
3102831OtherMEDICAID WELFARE
0500194OtherEVERCARE
N01796OtherBLUE SHIELD HMO BLUE
N01796OtherMEDICARE B
26838OtherCHILDRENS MED SEC PLAN
MA3102831Medicaid
3451491OtherCIGNA HEALTH PLAN
918068OtherFIRST HEALTH
N01796OtherBLUE CARE ELECT
MA3102831Medicaid
3102831OtherMEDICAID WELFARE