Healthcare Provider Details

I. General information

NPI: 1942268339
Provider Name (Legal Business Name): THOMAS A TAGHON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE CHILDREN'S PLAZA DAYTON CHILDREN'S HOSPITAL-CHILDREN'S CARE GROUP, INC.
DAYTON OH
45404-1815
US

IV. Provider business mailing address

ONE CHILDREN'S PLAZA - CHILDREN'S ANESTHESIA GROUP, INC DAYTON CHILDREN'S HOSPITAL
DAYTON OH
45404-1815
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3350
  • Fax: 937-641-6145
Mailing address:
  • Phone: 937-641-3350
  • Fax: 937-641-6145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number34.008372
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number34008372
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number34008372
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number34.008372
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: