Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 33328 | KY |
N | 207V00000X | Obstetrician & Gynecologist | 35-056711 | OH |
N | 207VE0102X | Reproductive Endocrinologist | 33328 | KY |
Y | 207VE0102X | Reproductive Endocrinologist | 35-056711 | OH |
N | 207VG0400X | Gynecologist | 33328 | KY |
N | 207VG0400X | Gynecologist | 35-056711 | OH |
N | 207VX0000X | Obstetrician | 33328 | KY |
N | 207VX0000X | Obstetrician | 35-056711 | OH |
NPI | 1154346146 |
---|---|
Provider Name | Michael A Thomas |
First Address | West Chester, OH 45069-2509 |
Second Address | West Chester, OH 45069-2509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 17/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0701128 | (05) | OH |
64860141 | (05) | KY |
D33256 | (02) |