Healthcare Provider Details

I. General information

NPI: 1457580003
Provider Name (Legal Business Name): THOMAS WILLIAM HOWARD, III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2009
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E MAXWELL ST STE 401
LEXINGTON KY
40508-2617
US

IV. Provider business mailing address

135 E MAXWELL ST STE 401
LEXINGTON KY
40508-2617
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-3900
  • Fax: 859-257-1331
Mailing address:
  • Phone: 859-323-3900
  • Fax: 859-257-1331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number44608
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number44608
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: