MEDICARE: DR. THOMAS J MCCABE D.P.M.

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	213E00000X	Podiatrist	002453	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

General Provider Information

NPI Number	:	1043219306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS J MCCABE D.P.M.

Provider Business Mailing Address
First Line	:	3106 TREMAINSVILLE RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-1804
Country	:	US
Telephone Number	:	419-472-6946
Fax Number	:	419-472-2047

Provider Business Practice Location Address
First Line	:	3106 TREMAINSVILLE RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-1804
Country	:	US
Telephone Number	:	419-472-6946
Fax Number	:	419-472-2047

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	12/17/2025

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