Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35-07-0416-N | OH |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | G67510 | CA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ND058750L | PA |
NPI | 1063413961 |
---|---|
Provider Name | Thomas Raymond Neuman |
First Address | Warren, OH 44484-1941 |
Second Address | Warren, OH 44484-1941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 26/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000211855 | ANTHEM BCBS (01) | OH |
0001341761 | HIGHMARK BC/BS (01) | PA |
0243347 | (05) | OH |
1376617613 | NPI (01) | |
2808840 | (05) | OH |
54672 | QUALCHOICE (01) | |
659868 | AETNA (01) | OH |
660829917 | MEDICAL MUTUAL (01) | OH |
F30633 | (02) | |
P00161841 | RAILROAD MEDICARE (01) |