MEDICARE: THOMAS E MITORAJ MD

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	208000000X	Pediatrics Physician	021345	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	123498	OTHER	TN	BLUE CROSS TN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	042029	OTHER	VA	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255381752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E MITORAJ MD

Provider Business Mailing Address
First Line	:	PO BOX 632476
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2476
Country	:	US
Telephone Number	:	423-968-4007
Fax Number	:	423-652-2590

Provider Business Practice Location Address
First Line	:	109 MEADOW VIEW RD
Second Line	:	STE 3
City	:	BRISTOL
State	:	TN
Zip	:	37620-1661
Country	:	US
Telephone Number	:	423-968-4007
Fax Number	:	423-652-2590

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	02/17/2025

Similar Medicare Providers

1821047135 — MICHELE A HENLEY NP
Practice Location Address:

109 MEADOWVIEW RD , SUITE 3
BRISTOL, TN
37620-1661

Practice Phone: 423-968-2246
Practice Fax: 423-968-7223

1811994981 — DR. JOHN RICHARD HOVIOUS III M.D.
Practice Location Address:

109 MEADOW VIEW ROAD , SUITE 7
BRISTOL, TN
37620-1661

Practice Phone: 423-652-1655
Practice Fax: 423-652-7668

1952609463 — JANETT M PATE NP
Practice Location Address:

109 MEADOW VIEW RD , SUITE 3
BRISTOL, TN
37620-1661

Practice Phone: 423-968-2446
Practice Fax: 423-968-7223

1912259912 — LOGAN GILLEN LOVE MA, LMFT, PHD
Practice Location Address:

109 MEADOW VIEW RD
BRISTOL, TN
37620-1661

Practice Phone: 423-797-4555
Practice Fax:

1881427714 — NORA ELIZABETH MARSHALL MS, CF-SLP
Practice Location Address:

109 MEADOW VIEW RD
BRISTOL, TN
37620-1661

Practice Phone: 423-797-4555
Practice Fax:

1831908771 — TAMERIA MCRATH
Practice Location Address:

109 MEADOW VIEW RD
BRISTOL, TN
37620-1661

Practice Phone: 423-797-4555
Practice Fax:

Directions to “ THOMAS E MITORAJ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.