Healthcare Provider Details

I. General information

NPI: 1285603357
Provider Name (Legal Business Name): THOMAS MICHAEL HUGHES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2731 CAMDEN COLLEGE CORNER RD
CAMDEN OH
45311-9525
US

IV. Provider business mailing address

2731 CAMDEN COLLEGE CORNER RD
CAMDEN OH
45311-9525
US

V. Phone/Fax

Practice location:
  • Phone: 513-373-2925
  • Fax:
Mailing address:
  • Phone: 513-373-2925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number35032563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: