Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 34-00-6905 | OH |
NPI | 1275549701 |
---|---|
Provider Name | Dr. Thomas Schmeiser |
First Address | Tallmadge, OH 44278 |
Second Address | Tallmadge, OH 44278-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 28/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2289456 | (05) | OH |
34-00-6905 | OHIO LIC # (01) | OH |
H54289 | (02) | OH |