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General NPI Number Information
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NPI Number | 1336102888
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Entity Type | Individual
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Provider Name | THOMAS PATRICK ARCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 477 COOPER RD STE 200
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City | WESTERVILLE
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State | OH
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Zip | 43081-8054
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Country | US
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Telephone | 614-627-2000
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Fax | 614-221-8869
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Provider Business Mailing Address
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Address Line | 1322 BERKELEY CT
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City | POWELL
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State | OH
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Zip | 43065-7809
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Country | US
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Telephone | 614-847-1898
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 35065935A
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number | 35065935A
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35065935A
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License Number State | OH
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