Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 35076326 | OH |
NPI | 1093711103 |
---|---|
Provider Name | Thomas J Sweeney |
First Address | Columbus, OH 43214-4359 |
Second Address | Columbus, OH 43214-4359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000203664 | ANTHEM (01) | OH |
18108 | NATIONWIDE (01) | OH |
2131286 | (05) | OH |
3600409 | UHC (01) | OH |
830006043 | RAILROAD MEDICARE (01) | OH |
G24506 | (02) | OH |