Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 125059699 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 35.126089 | OH |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35.126089 | OH |
NPI | 1720377963 |
---|---|
Provider Name | Tonya Nicole Thomas |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 11/11/2020 |