MEDICARE: THOMAS M SCHRIMPF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	350422875	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023089026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS M SCHRIMPF MD

Provider Business Mailing Address
First Line	:	5630 BRIDGETOWN RD STE 4
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-4346
Country	:	US
Telephone Number	:	513-598-5102
Fax Number	:	513-598-5104

Provider Business Practice Location Address
First Line	:	5630 BRIDGETOWN RD STE 4
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-4346
Country	:	US
Telephone Number	:	513-598-5102
Fax Number	:	513-598-5104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	07/21/2011

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