Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 35-083286 | OH |
Y | 208200000X | Surgeon | 35083286 | OH |
Y | 208600000X | Surgeon | 35083286 | OH |
NPI | 1194793778 |
---|---|
Provider Name | Dr. Mark J. Thomas |
First Address | Cincinnati, OH 45263-6209 |
Second Address | Cincinnati, OH 45242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 02/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2435038 | (05) | OH |
H65197 | (02) | OH |