Healthcare Provider Details

I. General information

NPI: 1871592220
Provider Name (Legal Business Name): THOMAS A CAROTHERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10547 MONTGOMERY RD SUITE 400
CINCINNATI OH
45242-4418
US

IV. Provider business mailing address

PO BOX 637783
CINCINNATI OH
45263-7783
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-6611
  • Fax: 513-791-6788
Mailing address:
  • Phone: 513-853-4749
  • Fax: 513-859-4740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35-04-1833
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: