MEDICARE: DR. THOMAS EDWARD CONTE 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35071740	OH
2	2086S0129X	Vascular Surgery Physician	35071740	OH
3	208600000X	Surgery Physician	35071740	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	35071740	OTHER	OH	OHIO MED LIC

General Provider Information

NPI Number	:	1558329516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EDWARD CONTE MD

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 FOX RD
Second Line	:	SUITE 401
City	:	VAN WERT
State	:	OH
Zip	:	45891-2475
Country	:	US
Telephone Number	:	419-238-4909
Fax Number	:	419-238-9615

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	03/26/2024

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