MEDICARE: DR. THOMAS HLIVKO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35-044189	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000000130951	OTHER	ANTHEM BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000191217	OTHER	UNISON HEALTH NETWORK

General Provider Information

NPI Number	:	1063474500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS HLIVKO

Provider Business Mailing Address
First Line	:	2215 E WATERLOO RD
Second Line	:	STE 313
City	:	AKRON
State	:	OH
Zip	:	44312-3856
Country	:	US
Telephone Number	:	330-208-2720
Fax Number	:	330-208-2721

Provider Business Practice Location Address
First Line	:	2215 E WATERLOO RD
Second Line	:	STE 313
City	:	AKRON
State	:	OH
Zip	:	44312-3856
Country	:	US
Telephone Number	:	330-208-2720
Fax Number	:	330-208-2721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	10/28/2016

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