Basic Information
| Provider Information | |||||||||
| NPI: | 1336148212 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LITTLE | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174218 | ||||||||
| Practice Location | |||||||||
| Address1: | 120 N 7TH ST STE 101 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011795 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177655060 | ||||||||
| FaxNumber: | 7172636255 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2005 | ||||||||
| LastUpdateDate: | 09/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD066808L | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 211082 | 01 | PA | JOHNS HOPKINS | OTHER | 7131929 | 01 | PA | AETNA | OTHER | 1523790 | 01 | PA | GATEWAY-WMG | OTHER | 610584 | 01 | MD | CAREFIRST MD BCBS | OTHER | 20064229 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 41062 | 01 | PA | GEISINGER | OTHER | 50070340 | 01 | PA | CAPITAL BLUE CROSS-WMG | OTHER | 212667 | 01 | PA | UNISON-WMG | OTHER | 2167387 | 01 | PA | MAMSI-WMG | OTHER | 001856908 | 05 | PA | MEDICAID | 1302106 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER |