Provider Demographics
NPI:1811341811
Name:TOMLINSON, LOYD A III (DPM)
Entity type:Individual
Prefix:
First Name:LOYD
Middle Name:A
Last Name:TOMLINSON
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 CAREW ST STE 250
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2483
Mailing Address - Country:US
Mailing Address - Phone:413-748-7350
Mailing Address - Fax:413-748-7325
Practice Address - Street 1:175 CAREW ST STE 250
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2483
Practice Address - Country:US
Practice Address - Phone:413-748-7350
Practice Address - Fax:413-748-7325
Is Sole Proprietor?:No
Enumeration Date:2016-04-16
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2519213E00000X, 213ES0103X
FLPO4045213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2519OtherMASSACHUSETTS STATE LICENSE