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NPI Code Detail

MEDICARE: DR. THOMAS S MAIN M.D.

MEDICARE: DR. THOMAS S MAIN M.D.
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
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician35032586OH

Other Identifiers

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

General Provider Information

NPI Number : 1386644078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS S MAIN M.D.
Provider Business Mailing Address
First Line : 974 BETHEL RD
Second Line : SUITE A
City : COLUMBUS
State : OH
Zip : 43214-2467
Country : US
Telephone Number : 614-538-2424
Fax Number : 614-538-2418
Provider Business Practice Location Address
First Line : 974 BETHEL RD
Second Line : SUITE A
City : COLUMBUS
State : OH
Zip : 43214-2467
Country : US
Telephone Number : 614-538-2424
Fax Number : 614-538-2418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS S MAIN M.D.” Practice Location

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