MEDICARE: MR. THOMAS MICHAEL WILSON C.PED, CO

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	222Z00000X	Orthotist	LO 215	OH

General Provider Information

NPI Number	:	1073511804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS MICHAEL WILSON C.PED, CO

Provider Business Mailing Address
First Line	:	446 IVY RIDGE DR
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-8842
Country	:	US
Telephone Number	:	859-781-4525
Fax Number	:

Provider Business Practice Location Address
First Line	:	2375 FLORENCE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2466
Country	:	US
Telephone Number	:	513-281-2800
Fax Number	:	513-281-0420

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	04/09/2013

Similar Medicare Providers

1427115955 — ROCCO PROSTHETIC AND ORTHOTIC CENTER INC
Practice Location Address:

2375 FLORENCE AVE
CINCINNATI, OH
45206-2466

Practice Phone: 513-281-2800
Practice Fax: 513-281-0420

1033562467 — CM ONTHE SPOT MEDICAL TRANSPORTATION
Practice Location Address:

9702 HELMSLEY WAY
CINCINNATI, OH
45231-2466

Practice Phone: 513-498-1613
Practice Fax:

1104753904 — CHRISTINA R CHILELLI
Practice Location Address:

1501 MADISON RD
CINCINNATI, OH
45206

Practice Phone: 513-354-5200
Practice Fax: 513-354-7115

1801723432 — MONIQUE LINNETTE
Practice Location Address:

1501 MADISON RD
CINCINNATI, OH
45206

Practice Phone: 513-354-5200
Practice Fax: 513-354-7115

1326975954 — ALEXIS MONROE
Practice Location Address:

1501 MADISON RD
CINCINNATI, OH
45206

Practice Phone: 513-354-5200
Practice Fax: 513-354-7115

1598692154 — MICHAEL R SMITH
Practice Location Address:

1501 MADISON RD
CINCINNATI, OH
45206

Practice Phone: 513-354-5200
Practice Fax:

Directions to “ MR. THOMAS MICHAEL WILSON C.PED, CO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.