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NPI Code Detail

MEDICARE: KATHERINE THEWES MD

MEDICARE:   KATHERINE  THEWES  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
1207Q00000XFamily Medicine Physician35075447BOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427011956
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE THEWES MD
Provider Business Mailing Address
First Line : 477 COOPER RD STE 300
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8057
Country : US
Telephone Number : 614-898-8808
Fax Number : 614-898-8842
Provider Business Practice Location Address
First Line : 477 COOPER RD STE 300
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8057
Country : US
Telephone Number : 614-898-8808
Fax Number : 614-898-8842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 02/03/2010

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Directions to “ KATHERINE THEWES MD” Practice Location

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